Individual provider Active NPI

Tarah Jo Mathews, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Glasgow, KY
National Provider Identifier
1063763571
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3007679 Issued in KY
Practice address
100 S Broadway St
Glasgow, KY 42141-2604
Phone
(270) 861-0606
Fax
(270) 629-2444
NPI assigned
Sep 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3007679 KY Primary

Addresses

Primary practice location

100 S Broadway St
Glasgow, KY 42141-2604

Mailing address

130 Southern School Rd
Somerset, KY 42501-3223
Phone (606) 679-4782

Other names 1

  • Tarah Jo Ferguson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL tarah@theoaksbh@gmail.com Other

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
I20130320000723 KY Practitioner - Nurse Practitioner 3779728811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3007679KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oaks Behavioral Health PLLC Psychiatric/Mental Health CurrentSince Jan 1, 2019 Accepting new patients
Lake Cumberland Regional MHMR Board Outpatient Past Accepting new patients
Leslie N Richardson, O.D. PSC Past Accepting new patients
Heartland Psychiatry, PLLC PastSince Feb 13, 2011 Accepting new patients

Locations

1320 W Main St
#B
Glasgow, KY 42141

100 S Broadway St
Glasgow, KY 42141
Phone (270) 281-2559

169 County Pike
Harlan, KY 40831
Phone (606) 573-5105

130 Southern School Rd
Somerset, KY 42501
Phone (606) 679-4782

162 E Somerset Church Rd
Somerset, KY 42503

Organizations & group practices 4

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1063763571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SOUTHERN SCHOOL RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013223",
            "telephone_number": "606-679-4782",
            "fax_number": "606-678-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BROADWAY ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412604",
            "telephone_number": "270-861-0606",
            "fax_number": "270-629-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "TARAH",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3007679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tarah@theoaksbh@gmail.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "100 S Broadway St",
            "city": "Glasgow",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421412604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TARAH",
            "last_name": "FERGUSON",
            "middle_name": "JO",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glasgow, KY

Sources for this page

Verify at the official NPI Registry.