DO Life With Jackie, LTD. Co.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

DO LIFE WITH JACKIE, LTD. CO.

Practice address

3700 9TH Ave N
Texas City, TX 77590-6549

Phone

(817) 681-9130

NPI assigned

Sep 8, 2020

Organization subpart

No

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

Authorized official

Name

Jacqueline Judie, MS, RD, LDNPI 1447864590

Title

Dietitian/Owner

Phone

(817) 681-9130

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Judie, MS, RD, LD

  • Registered Dietitian
  • Texas City, TX
  • NPI 1447864590
  NPD Authorized official

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1780299644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 TREMONT ST # 8051",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775501986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 9TH AVE N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775906549",
            "telephone_number": "817-681-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DO LIFE WITH JACKIE, LTD. CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "JUDIE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DIETITIAN/OWNER",
        "authorized_official_telephone_number": "817-681-9130",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://pm.officeally.com/pm/Desktop/Summary.aspx?Tab=D",
            "affiliation": "N",
            "endpointDescription": "Office Ally",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3700 9th Ave N",
            "city": "Texas City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775906549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Health Maintenance Organization in Texas City, TX
• Providers in Texas City, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.