Active NPI
Stephanie Judge, L.AC
- Acupuncturist
- Silver Spring, MD
National Provider Identifier
1639393390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- U01265
- Practice address
- 10723 Columbia Pike Ste B
Silver Spring, MD 20901-4445 - Phone
- (301) 754-3730
- Fax
- (301) 754-3731
- NPI assigned
- Apr 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U01265 | MD | Primary |
Addresses
Primary practice location
10723 Columbia Pike Ste B
Silver Spring, MD 20901-4445
Mailing address
6241 Ironwood Way
Columbia, MD 21045-4466
Phone (443) 540-3173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U01265 | MD | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R&B Wellness, LLC | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639393390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6241 IRONWOOD WAY",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210454466",
"telephone_number": "443-540-3173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10723 COLUMBIA PIKE STE B",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209014445",
"telephone_number": "301-754-3730",
"fax_number": "301-754-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDGE",
"first_name": "STEPHANIE",
"name_prefix": "Ms.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U01265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.