Organization Active NPI

Well Woman Functional Medicine PLLC

  • Clinic/Center
  • Londonderry, NH
National Provider Identifier
1962369355
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WELL WOMAN FUNCTIONAL MEDICINE PLLC
Practice address
88 Nashua Rd Apt Right
Londonderry, NH 03053-3458
Phone
(603) 537-6444
NPI assigned
Jan 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Mrs. Jessica Judkins, PA-CNPI 1245507953
Title
Physician Assistant
Phone
(603) 537-6444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

88 Nashua Rd Apt Right
Londonderry, NH 03053-3458

Mailing address

88 Nashua Rd Apt Right
Londonderry, NH 03053-3458
Phone (603) 537-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260330001413 NH Part B Supplier - Clinic/Group Practice 5799260626 Receives reassigned benefits from 1 practitioner
Practice locations: Londonderry, NH

National Provider Directory

National Provider Directory

Locations

88 Nashua Rd
Londonderry, NH 03053
Phone (603) 216-1098

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1962369355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 NASHUA RD APT RIGHT",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533458",
            "telephone_number": "603-537-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 NASHUA RD APT RIGHT",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533458",
            "telephone_number": "603-537-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL WOMAN FUNCTIONAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "JUDKINS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "603-537-6444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.