Emily Tabor Jessie, APRN
Individual provider Active NPI Family Nurse Practitioner · Scottsville, KY
NPI 1306204490 · NPPES record last updated Mar 1, 2023
Key facts
- NPI
- 1306204490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3010029 (KY)
- Practice address
- 1084 Veterans Memorial Hwy
Scottsville, KY 42164-9602 - Phone
- (702) 373-1232
- Fax
- (270) 237-3139
- NPI assigned
- Feb 3, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- T J Health Columbia Inc
Practice addresses (Care Compare)
1084 Veterans Memorial Hwy
Scottsville, KY 42164-9602
Phone (270) 237-3123
Hospital & facility affiliations
- Lifeline Home Health
- T J Samson Community Hospital
- TJ Health Columbia
- The Medical Center at Scottsville
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171129002002 | KY | Practitioner - Nurse Practitioner | 7113284100 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Services P C | Nurse Practitioner | Current |
Accepting new patients |
| T J Health Columbia Inc | Current | Accepting new patients | |
| T J Health Columbia Inc | Family | Current | Accepting new patients |
| T J Health Columbia Inc | Current | Accepting new patients | |
| T J Health Columbia Inc | Current | Accepting new patients | |
| T J Health Columbia Inc | Current | Accepting new patients | |
| T J Samson Community Hospital | Current | Accepting new patients | |
| T J Samson Community Hospital | Family | Current | Accepting new patients |
| T J Health Columbia Inc | Current | Accepting new patients | |
| T J Samson Community Hospital | Nurse Practitioner | Current |
Accepting new patients |
| T J Health Columbia Inc | Current |
Accepting new patients |
Locations
250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000
902 Wellness Way
Columbia, KY 42728
Phone (270) 384-0451
1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141
310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111
1325 N Race St
Glasgow, KY 42141
Phone (270) 651-4797
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
218 N Court St
Scottsville, KY 42164
Phone (270) 237-3351
1084 Veterans Memorial Hwy
Scottsville, KY 42164
Phone (270) 237-3123
Interoperability endpoints
- emily.jessie@tjrh.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3010029 | KY | Yes |
Addresses
Primary practice location
1084 Veterans Memorial Hwy
Scottsville, KY 42164-9602
Mailing address
1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100474280 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Emily.Jessie@tjrh.cernerdirect.com |
Other providers in Scottsville, KY
- James K Howard
- Joshua Michael Hudson
- Dianna Hunt
- James Mark Huntsman
- J. Mark Huntsman DMD PSC
- John M Hall, M.D. PSC
- Johnson Dental Associates, PLLS
- Tamara Johnson Kraft
- Shelley Elizabeth Jones
- Elizabeth Ann Keown
All providers in Scottsville, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.