Individual provider Active NPI

Tina Gay Cooney, APRN, FNP-BC

  • Family Nurse Practitioner
  • Beaver Dam, KY
National Provider Identifier
1932861994
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016789 Issued in KY
Practice address
5503 E US Highway 62
Beaver Dam, KY 42320-8945
Phone
(270) 532-3170
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3016789 KY Primary

Addresses

Primary practice location

5503 E US Highway 62
Beaver Dam, KY 42320-8945

Mailing address

5503 E US Highway 62
Beaver Dam, KY 42320-8945
Phone (270) 532-3170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230405000742 KY Practitioner - Nurse Practitioner 3577938596 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Kentucky, PLLCGroup PAC ID 0143525998, 213 clinicians

Practice addresses (Care Compare)

110 S 2ND St
Central City, KY 42330-1506
Phone (270) 931-2059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky, PLLC CurrentSince Nov 1, 2023 Accepting new patients
Zipclinic, PSC CurrentSince Aug 30, 2023 Accepting new patients
Brock Medical, LLC CurrentSince Nov 1, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Tele Nurse Practitioner, PLLC CurrentSince Oct 1, 2021 Accepting new patients
Cooney Family Care PLLC CurrentSince Oct 1, 2021 Accepting new patients
Fast Pace Kentucky PLLC Family CurrentSince Nov 1, 2023 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Mar 23, 2023 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Nov 1, 2023 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 15, 2025 Accepting new patients
Maclimore Clinic LLC Family PastSince Dec 1, 2022 Accepting new patients
Fast Pace Kentucky, PLLC Past Accepting new patients

Locations (25 of 34)

1095 Morton Ave
Bardstown, KY 40004
Phone (502) 601-0107

110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409

1430 N Main St
Beaver Dam, KY 42320
Phone (270) 775-4483

401 Main St
Benton, KY 42025
Phone (270) 906-0369

2508 Scottsville Rd
Ste 104
Bowling Green, KY 42104
Phone (270) 746-6330

270 Bypass Rd
Brandenburg, KY 40108
Phone (270) 253-4050

796 W Broadway St
Campbellsville, KY 42718
Phone (270) 572-4933

110 S 2nd St
Central City, KY 42330
Phone (270) 931-2059

1873 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 404-6450

1591 Hustonville Rd
Danville, KY 40422
Phone (270) 861-1110

111 Towne Dr
Elizabethtown, KY 42701
Phone (270) 737-1710

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

237 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 861-1110

2955 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 348-3677

1000 W Park Dr
Lawrenceburg, KY 40342
Phone (502) 353-3417

757 W Main St
Lebanon, KY 40033
Phone (270) 972-4186

333 S Main St
Leitchfield, KY 42754
Phone (270) 200-4983

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

1350 N Main St
Madisonville, KY 42431
Phone (270) 245-2554

919 N Main St
Madisonville, KY 42431
Phone (270) 228-0592

1251 Paris Rd
Mayfield, KY 42066
Phone (270) 356-1345

420 Martin Luther King Hwy
Maysville, KY 41056
Phone (606) 375-4817

895 N Main St
Monticello, KY 42633
Phone (606) 396-3006

480 Indian Mound Dr
Mt Sterling, KY 40353
Phone (270) 245-2554

Interoperability endpoints

  • Direct secure messaging: tina.cooney@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1932861994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 E US HIGHWAY 62",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208945",
            "telephone_number": "270-532-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 E US HIGHWAY 62",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208945",
            "telephone_number": "270-532-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONEY",
        "first_name": "TINA",
        "middle_name": "GAY",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, KY

Sources for this page

Verify at the official NPI Registry.