Individual provider Active NPI

Tonya Monique Bragg-Underwood, DNP, PMHNP-BC, FNP-B

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1942581095
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3007120 Issued in KY
Practice address
351 Pascoe Blvd Ste 102
Bowling Green, KY 42104-6302
Phone
(270) 590-3352
NPI assigned
Sep 2, 2011
Last updated
Mar 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3007120 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3007120 KY Primary

Addresses

Primary practice location

351 Pascoe Blvd Ste 102
Bowling Green, KY 42104-6302

Mailing address

117 Brookdale Dr
Glasgow, KY 42141-2077
Phone (270) 590-3352

Other practice location 1

117 Brookdale Dr
Glasgow, KY 42141-2077
Phone (270) 576-2546

Other names 1

  • Tonya Monique Bragg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20111123000184 KY Practitioner - Nurse Practitioner 3476727769 Reassigns benefits to 1 organization
I20241221000040 TN Practitioner - Nurse Practitioner 3476727769 Reassigns benefits to 1 organization
I20251009002518 MO Practitioner - Nurse Practitioner 3476727769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jul 11, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1942581095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BROOKDALE DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412077",
            "telephone_number": "270-590-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 PASCOE BLVD STE 102",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046302",
            "telephone_number": "270-590-3352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Brookdale Dr",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421412077",
            "country_code": "US",
            "telephone_number": "270-576-2546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAGG-UNDERWOOD",
        "first_name": "TONYA",
        "middle_name": "MONIQUE",
        "credential": "DNP, PMHNP-BC, FNP-B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2021-03-07",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007120",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3007120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "BRAGG",
            "middle_name": "MONIQUE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.