Individual provider Active NPI

Christopher Lee Jude, D.O.

  • Family Medicine Physician
  • Louisa, KY
National Provider Identifier
1699158246
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04405 Issued in KY
Practice address
203 S Water St
Louisa, KY 41230-1347
Phone
(606) 649-2211
Fax
(606) 638-1399
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04405 KY Primary

Addresses

Primary practice location

203 S Water St
Louisa, KY 41230-1347

Mailing address

PO Box 726
Louisa, KY 41230-0726
Phone (606) 638-0938

Other practice location 1

50 Recovery Dr
Ashland, KY 41101-8800
Phone (606) 220-0010

Other practice location 2

125 S Main Cross St
Louisa, KY 41230-1330
Phone (606) 638-0938

Other practice location 3

2735 Bardstown Rd
St Catharine, KY 40061-9435
Phone (606) 638-0938

Other identifiers 1

IdentifierTypeStateIssuer
7100578030MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203000282 KY Order and Referring Only - Family PracticePractitioner - Family Practice 5991001406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Health Group LLC Past Accepting new patients
Arc Health Systems, LLC PastSince Apr 21, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1699158246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412300726",
            "telephone_number": "606-638-0938",
            "fax_number": "859-813-5394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S WATER ST",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301347",
            "telephone_number": "606-649-2211",
            "fax_number": "606-638-1399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Recovery Dr",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411018800",
            "country_code": "US",
            "telephone_number": "606-220-0010",
            "fax_number": "606-744-1875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 S Main Cross St",
            "address_purpose": "LOCATION",
            "city": "Louisa",
            "state": "KY",
            "postal_code": "412301330",
            "country_code": "US",
            "telephone_number": "606-638-0938",
            "fax_number": "859-813-5394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2735 Bardstown Rd",
            "address_purpose": "LOCATION",
            "city": "St Catharine",
            "state": "KY",
            "postal_code": "400619435",
            "country_code": "US",
            "telephone_number": "606-638-0938",
            "fax_number": "859-813-5394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDE",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "04405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100578030",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

Verify at the official NPI Registry.