1. Home
  2. Directory
  3. Florida
  4. Deland
  5. Physician Assistant
  6. NPI Profile

MRS. JUDY R MACNICHOLS P.A.-C
NPI 1407858004
Physician Assistant - Medical in Deland, FL

Active since August 12, 2005
1070 N. STONE STREET, SUITE A, DELAND, FL 32720(386) 943-7100(386) 738-8909 Get Directions Write a Review

NPPES record last updated: February 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Judy R Macnichols P.a.-c NPPES

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

MRS. JUDY R MACNICHOLS P.A.-C (NPI 1407858004) is an individual medical provider in Deland, Florida, licensed in Florida (PA3264) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1407858004
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JUDY R MACNICHOLSCredential: P.A.-C
Location Address1070 N. STONE STREET, SUITE ADeland, FL 32720
Mailing Address1070 N Stone St, Suite ADeland, FL 32720-0919 · (386) 943-7100 · Fax (386) 943-8909
Phone(386) 943-7100
Fax(386) 738-8909
Sole ProprietorNo
Enumeration DateAugust 12, 2005
Last NPPES UpdateFebruary 19, 2014
✔ NPI 1407858004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA3264
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA3264 (FL)
1070 N. STONE STREET, Deland, FL 32720
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Judith Rubiela Macnichols Pa-c

Other Identifiers 4

Medicaid290967700FL
Medicare PINE5352WFL
Medicare UPINP29161FL
Medicare UPINP29161

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 Judy Macnichols's NPI number?

The NPI number for Judy Macnichols is 1407858004. It was assigned to this individual provider in the NPPES registry on August 12, 2005. The provider is also known as Mrs. Judith Rubiela Macnichols Pa-C.

Where is Judy Macnichols located?

Judy Macnichols practices at 1070 N. Stone Street Suite A, Deland, FL 32720. The listed phone number is (386) 943-7100.

What is Judy Macnichols's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Judy Macnichols was last updated on February 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.