Judy Tubman

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

954680 Issued in TX

Practice address

8610 N New Braunfels Ave
San Antonio, TX 78217-6370

Phone

(781) 486-4116

Fax

(888) 320-7507

NPI assigned

Jul 25, 2019

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

Other names 1

• Judy Haskell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1922652254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 N NEW BRAUNFELS AVE STE 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176358",
            "telephone_number": "781-486-4116",
            "fax_number": "888-320-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 N NEW BRAUNFELS AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176370",
            "telephone_number": "781-486-4116",
            "fax_number": "888-320-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBMAN",
        "first_name": "JUDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "TX",
            "license": "954680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "HASKELL",
            "credential": "BRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Edward Tubb, M.D., PH.D.
• Chelsea Taylor Tubb, RBT-22-222671
• Daniel Crawford Tubbesing, MD
• Emma Tubbs, RBT
• Michelle Tubilla, LPC
• Tuc Physician Services LLC
• Elisabeth Tucci
• Tucker Total Care, LLC
• Blake Allen Tucker, MD
• Christine Tucker, PT

• Pediatric Clinical Nurse Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.