Judith M Speakes, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA04126 Issued in TX

Practice address

3851 Roger Brooke Dr
San Antonio, TX 78234-4501

Phone

(210) 916-7893

NPI assigned

Nov 1, 2005

Last updated

May 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1407847221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CHAMPIONS LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571281",
            "telephone_number": "210-289-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-916-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKES",
        "first_name": "JUDITH",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-01",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Spaulding
• Jerhonda Kaye Spaulding, LPC-A, NCC
• Spcsa PLLC (Shavano Oaks Pharmacy @ Westover)
• Spcsa PLLC (Spine and Pain Center of San Antonio)
• Spcsa PLLC (Spine & Pain Center of San Antonio)
• Timothy Speakman
• Joylaina Speaks, PHARM.D.
• Dominique Nicole Spear, PHARMD
• Heath Spear, DDS
• Leigh M Spear, MD

• Medical Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.

Verify at the official NPI Registry.