Individual provider Active NPI

Judith Ann Jonke, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • New Braunfels, TX
National Provider Identifier
1174699409
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0762 Issued in TX
Practice address
925 Loop 337
New Braunfels, TX 78130-3556
Phone
(830) 629-7233
Fax
(830) 620-5679
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 0762 TX Primary

Addresses

Primary practice location

925 Loop 337
New Braunfels, TX 78130-3556

Mailing address

925 Loop 337
New Braunfels, TX 78130-3556
Phone (830) 629-7233

Other identifiers 1

IdentifierTypeStateIssuer
0188195-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1174699409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 LOOP 337",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303556",
            "telephone_number": "830-629-7233",
            "fax_number": "830-620-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 LOOP 337",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303556",
            "telephone_number": "830-629-7233",
            "fax_number": "830-620-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONKE",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "0762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0188195-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.