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LISA M JUDGE M D P A
NPI 1124220009
Obstetrics & Gynecology - Gynecology in Niceville, FL

Active since June 04, 2007CLIA 10D0918187 · Waiver
552 TWIN CITIES BLVD, SUITE C, NICEVILLE, FL 32578(850) 729-1414(850) 729-8700 Get Directions Write a Review

NPPES record last updated: June 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa M Judge M D P A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA M JUDGE M D P A (NPI 1124220009) is a healthcare organization registered as a gynecology in Niceville, Florida and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists Lynn Routhier, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1124220009
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameLISA M JUDGE M D P A
Location Address552 TWIN CITIES BLVD, SUITE CNiceville, FL 32578-1055
Mailing Address552 Twin Cities Blvd, Suite CNiceville, FL 32578-1055 · (850) 729-1414 · Fax (850) 729-8700
Phone(850) 729-1414
Fax(850) 729-8700
Organization SubpartNo
Authorized OfficialLynn RouthierPractice Manager · (850) 729-1414
Enumeration DateJune 4, 2007
Last NPPES UpdateJune 23, 2009
✔ NPI 1124220009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
552 TWIN CITIES BLVD, Niceville, FL 32578
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Other Identifiers 2

OtherDN7294FL · Rr Medicare Group Ptan
Medicare PINK4521FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0918187

Lisa M Judge MD · Niceville, FL
Active · expires Jan 25, 2028
CLIA Number10D0918187
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorLisa M. Judge
Laboratory Phone(850) 729-1414
Laboratory LocationLisa M Judge MD552 Twin Cities Blvd Suite C, Niceville, FL 32578
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARRY G BANKS MD PA
Internal Medicine
552 TWIN CITIES BLVD, SUITE A
NICEVILLE, FL 32578
Okaloosa County (850) 678-7676
GARRY G BANKS MD PA
Internal Medicine
552 TWIN CITIES BLVD, SUITE A
NICEVILLE, FL 32578
Okaloosa County (850) 678-7676
LISA M JUDGE M D
Obstetrics & Gynecology
552 TWIN CITIES BLVD, SUITE C
NICEVILLE, FL 32578
Okaloosa County (850) 729-1414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa M Judge M D P A's NPI number?

The NPI number for Lisa M Judge M D P A is 1124220009. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Lisa M Judge M D P A located?

Lisa M Judge M D P A is located at 552 Twin Cities Blvd Suite C, Niceville, FL 32578. The listed phone number is (850) 729-1414.

What is Lisa M Judge M D P A's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Lisa M Judge M D P A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0918187) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lisa M Judge M D P A was last updated on June 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.