JUDITH ALISON BOOMER PA
NPI 1912960733
Physician Assistant in Lubbock, TX

Q: What is Judith Boomer's NPI number?

The NPI number for Judith Boomer is 1912960733. It was assigned to this individual provider in the NPPES registry on April 11, 2006. The provider is also known as Judith Alison Clarke.

Q: What is Judith Boomer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Judith Boomer was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 11, 2006

4515 MARSHA SHARP FWY, LUBBOCK, TX 79407(806) 744-7223(806) 740-3325 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Judith Alison Boomer Pa NPPES

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

JUDITH ALISON BOOMER PA (NPI 1912960733) is an individual physician assistant in Lubbock, Texas, licensed in Texas (PA03356) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1912960733

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJUDITH ALISON BOOMERCredential: PA

Location Address4515 MARSHA SHARP FWYLubbock, TX 79407-2520

Mailing Address2804 N Loop 289Lubbock, TX 79415-1410 · (806) 744-7223 · Fax (806) 740-3325

Phone(806) 744-7223

Fax(806) 740-3325

Sole ProprietorNo

Enumeration DateApril 11, 2006

Last NPPES UpdateMay 10, 2016

✔ NPI 1912960733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA03356

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4515 MARSHA SHARP FWY, Lubbock, TX 79407

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Other Names 1

Former Name (1)Judith Alison Clarke

Other Identifiers 2

Medicare UPINQ47693

Medicare ID-Type Unspecified8D6545TX

Other Providers at the Same Location NPPES 20

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

SIXTUS ATABONG PA

Physician Assistant (Surgical)