Individual provider Active NPI

Emily Tabor Jessie, APRN

  • Family Nurse Practitioner
  • Scottsville, KY
National Provider Identifier
1306204490
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010029 Issued in KY
Practice address
1084 Veterans Memorial Hwy
Scottsville, KY 42164-9602
Phone
(702) 373-1232
Fax
(270) 237-3139
NPI assigned
Feb 3, 2016
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010029 KY Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Emily.Jessie@tjrh.cernerdirect.com

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
I20171129002002 KY Practitioner - Nurse Practitioner 7113284100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T J Health Columbia IncGroup PAC ID 7113224783, 43 clinicians

Practice addresses (Care Compare)

1084 Veterans Memorial Hwy
Scottsville, KY 42164-9602
Phone (270) 237-3123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3010029KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T J Health Columbia Inc Family Current Accepting new patients
T J Health Columbia Inc CurrentSince Mar 24, 2025 Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Samson Community Hospital Nurse Practitioner CurrentSince Jul 29, 2019 Accepting new patients
T J Samson Community Hospital Current Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Dec 12, 2018 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 Family Current Accepting new patients
T J Health Columbia Inc Current Accepting new patients
T J Health Columbia Inc CurrentSince Oct 14, 2019 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) 651-4444

1325 N Race St
Glasgow, KY 42141
Phone (270) 651-4797

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1084 Veterans Memorial Hwy
Scottsville, KY 42164
Phone (270) 237-3123

218 N Court St
Scottsville, KY 42164
Phone (270) 237-3351

Interoperability endpoints

  • Direct secure messaging: emily.jessie@tjrh.cernerdirect.com

Organizations & group practices 11

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1306204490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413454",
            "telephone_number": "270-651-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 VETERANS MEMORIAL HWY",
            "city": "SCOTTSVILLE",
            "state": "KY",
            "postal_code": "421649602",
            "telephone_number": "702-373-1232",
            "fax_number": "270-237-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSIE",
        "first_name": "EMILY",
        "middle_name": "TABOR",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emily.Jessie@tjrh.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1084 Veterans Memorial Hwy",
            "city": "Scottsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421649602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsville, KY

Sources for this page

Verify at the official NPI Registry.