DR. JESSICA RAECHELLE JUDGE (NPI# 1619169448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619169448 |
| Entity Type | Individual |
| Full Name | DR. JESSICA RAECHELLE JUDGE |
| Credential | DC, BS |
| Practice Address |
112 W. 4th St Justin TX 76247 |
| Mailing Address |
Po Box 77033 Fort Worth TX 76177-0033 |
| Practice Telephone | 9406481700 |
| Mailing Telephone | 9406481700 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2010-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 10289 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 608411 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811551120 | Jessica Judge | Social Worker | 680 Centre St, Brockton, MA 02302-3308 | 2019-04-23 |
| 1699177436 | Jessica Rae Judge | Physician Assistant | 2000 Washington St, Suite 441, Newton, MA 02462-1650 | 2014-09-24 |
| 1306168554 | Jessica M Judge | Occupational Therapy Assistant | 600 2nd Ave, New Glarus, WI 53574-9776 | 2010-02-15 |
| 1366684425 | Jessica L Judge | Specialist/Technologist | 1466 Jesse Jewell Pkwy Se, Second Floor, Gainesville, GA 30501-3852 | 2009-04-03 |
| Street Address |
112 W. 4TH ST |
| City | JUSTIN |
| State | TX |
| Zip Code | 76247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386285757 | Beatriz Magee | Technician | 9320 Porter Ln, Dish, TX 76247 | 2019-10-07 |
| 1386109650 | Pediatric Dentistry of Northlake Pllc | Dentist | 8151 Thompson Road, Northlake, TX 76247 | 2019-01-31 |
| 1164919460 | April Reed | Occupational Therapy Assistant | 1300, 2400 Westport Pkwy, Fort Worth, TX 76247 | 2018-04-23 |
| 1285180992 | David Keith Elder | Massage Therapist | 8520 Longhorn Dr., Justin, TX 76247 | 2016-09-01 |
| 1912247354 | Justin Family Dentistry, Pa | Dentist | 536 S. Fm 156, Justin, TX 76247 | 2013-02-21 |
| 1275838120 | Jason Cody Squyres | Chiropractor | 15080 Hwy 156, Suite C, Justin, TX 76247 | 2011-01-24 |
| 1811145576 | Natalie Marie Hull | Family Medicine | 1800 State Highway 114, Justin, TX 76247 | 2008-09-05 |
| 1194901918 | Kamali Chiropractic | Chiropractor | 950 South Highway 156, #10, Justin, TX 76247 | 2008-01-10 |
| 1831229384 | Justin Volunteer Fire Department | Ambulance | 310 N Sealy Ave, Justin, TX 76247 | 2007-03-06 |
| 1427139039 | David Allen Nall | Pharmacist | 112 W 4th St, Justin, TX 76247 | 2006-10-18 |
| Find all providers in zip 76247 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275838120 | Jason Cody Squyres | Chiropractor | 15080 Hwy 156, Suite C, Justin, TX 76247 | 2011-01-24 |
| 1194901918 | Kamali Chiropractic | Chiropractor | 950 South Highway 156, #10, Justin, TX 76247 | 2008-01-10 |
| 1053420281 | Mojgan Megan Kamali | Chiropractor | 950 S Fm 156, # 11, Justin, TX 76247 | 2006-08-30 |
| 1093206179 | Baillie A Trumble | Chiropractor | 112 W 4th St, Justin, TX 76247 | 2018-05-23 |
| 1871905760 | Jessica R. Judge Dc, LLC | Chiropractor | 112 W 4th St, Justin, TX 76247-5014 | 2014-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1891395166 | Henry Pham | Chiropractor | 8900 Lakes At 610 Dr Apt 322, Houston, TX 77054-2881 | 2020-10-27 |
| 1922607118 | Michael Anthony Arroyo | Chiropractor | 2205 W Lincoln St, Harlingen, TX 78552-5921 | 2020-10-20 |
| 1003415126 | Return To Health LLC | Chiropractor | 4474 Spring Valley Rd, Farmers Branch, TX 75244-3703 | 2020-10-20 |
| 1124627286 | Kirsten Rene Parker | Chiropractor | 750 County Road 234 Bldg 1, Georgetown, TX 78633-4426 | 2020-10-20 |
| 1659970978 | Madison De Hoyos | Chiropractor | 930 Hilltop Dr Ste 102, Weatherford, TX 76086-5943 | 2020-10-19 |
| 1336748797 | Zachary James Foreman | Chiropractor | 7900 Fm 1826 Ste 100, Austin, TX 78737-1410 | 2020-10-18 |
| 1659979276 | Shawn Brown | Chiropractor | 9910 Huebner Rd Ste 150, San Antonio, TX 78240-1399 | 2020-10-15 |
| 1598363384 | Cody James Davis | Chiropractor | 4540 W Bailey Boswell Rd Ste 170, Fort Worth, TX 76179-4439 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.