Active NPI
Tarah Jo Mathews, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Glasgow, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3007679
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3007679 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oaks Behavioral Health PLLC | Psychiatric/Mental Health | Current | 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 | Past | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Glasgow, KY
- NPI 1649744228
-
- Psychiatry Physician
- Campbellsville, KY
- NPI 1225331820
-
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1992831713
-
- Optometrist
- Campbellsville, KY
- NPI 1154579514
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.