Kantapak Tintukasiri, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4041519 Issued in KY

Practice address

225 Natchez Trace Ave
Bowling Green, KY 42103-7995

Phone

(270) 783-3753

NPI assigned

Jul 10, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bowling Green Warren County Primary Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bowling Green, KY
  • NPI 1336268234
  NPD (past)

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1962393785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 NATCHEZ TRACE AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037995",
            "telephone_number": "270-783-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NATCHEZ TRACE AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037995",
            "telephone_number": "270-783-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINTUKASIRI",
        "first_name": "KANTAPAK",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4041519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shonda Tibbs, LCSW
• Abby J Tichenor, RBT
• Tim Long M.D., PSC
• Timesavers Ky LLC
• Adrienne Lynn Brown Tinch, APRN
• Tiny Talk Speech Therapy
• TJ & L Consulting, LLC
• TJ & L Consulting, LLC
• Alaa Tlais
• TLC Medicaloxygen & Hospital Equipment, Inc

• Nurse Practitioner in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.