Active NPI
Tonya Monique Bragg-Underwood, DNP, PMHNP-BC, FNP-B
- Psychiatric/Mental Health Nurse Practitioner
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3007120
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.