Jessica Raechelle Judge, DC, BS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10289 Issued in TX

Practice address

112 W. 4TH St
Justin, TX 76247

Phone

(940) 648-1700

NPI assigned

Aug 15, 2007

Last updated

Sep 29, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Impact Medical and Chiropractic PLLCGroup PAC ID 4183973076, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

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.

• Impact Medical and Chiropractic, PLLC

  • Family Medicine Physician
  • Justin, TX
  • NPI 1457839425
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica R. Judge DC, LLC

  • Chiropractor
  • Justin, TX
  • NPI 1871905760
  Authorized official Same address or phone

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1619169448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77033",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761770033",
            "telephone_number": "940-648-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W. 4TH ST",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "76247",
            "telephone_number": "940-648-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "JESSICA",
        "middle_name": "RAECHELLE",
        "name_prefix": "Dr.",
        "credential": "DC, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "608411",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Danielle Jackson, M.S. CCC SLP
• Jessica Cortez Rd (Lumin Nutrition Counseling)
• Jessica R. Judge DC, LLC
• JFD - Justin PLLC
• Lindsay Johnson, MS, CCC-SLP
• Justin Community Volunteer Fire Department Inc.
• Justin Family Dentistry, PA
• Justin Family Medical
• Justin Family Medical, PA
• Justin Volunteer Fire Department

• Chiropractor in Justin, TX
• Providers in Justin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.