| NPI | Name | Type | Address |
|---|---|---|---|
|
IDMT Shella Rittenberry |
Individual |
1300 N L St Apt 141 Lompoc, CA |
|
|
MR. DIVE IDC Jeffrey Thomas Gilbert |
Individual |
3841 Colina Dorado Dr Apartment G108 San Diego, CA |
|
|
IDMT Nichole Reid |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
IDMT Bernard Pillagara Bueno |
Individual |
137 Maine Street Travis Afb, CA |
|
|
IDMT Giovanni Dyre Bonner |
Individual |
990 Westgate Dr Vacaville, CA |
|
|
MR. IDMT Benjamin Jacob Lifto |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
IDMT Jenna Danielle Gasper |
Individual |
15301 Warren Shingle Rd Beale Afb, CA |
|
|
IDMT Giacomo Zignago |
Individual |
6801 Leisure Town Rd Apt 49 Vacaville, CA |
|
|
IDMT Benito Mangrobang Caliboso JR. |
Individual |
330 San Marino Ave Vallejo, CA |
|
|
IDMT Trevor Kenneth Stevens |
Individual |
117 Kansas St Travis, CA |
|
|
IDMT Samir I. Shahin |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
MR. IDMT William Colin Mcbride |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
MRS. Jerrica Marie Wild |
Individual |
15301 Warren Shingle Road Beale Afb, CA |
|
|
MRS. IDMT Kalesha Gonzalez Gonzalez |
Individual |
21118 Amie Avenue Torrance, CA |
|
|
IDMT Annkathlyln Reyes Hidalgo |
Individual |
117 Bradley Blvd Travis Afb, CA |
|
|
Quin Loren Mcpherron |
Individual |
3 Hyannis Port Place Sacramento, CA |
|
|
IDMT Carl D Engelke |
Individual |
7484 Holworthy Way Apt 139 Sacramento, CA |
|
|
IDMT Carl Anthony Yambao |
Individual |
101 Bodin Cir Dgmc Er Travis Afb, CA |
|
|
TECHNICIANS Tiffany Laine Kingsbury |
Individual |
1 Eagle Rd Bldg 1 Alameda, CA |
|
|
Tanisha E Harrison |
Individual |
15301 Warren Shingle Rd Beale Afb, CA |
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 1710I1003X |
| Specialization | Independent Duty Medical Technicians |
| Display Name | Independent Duty Medical Technicians |
| Taxonomy Group | Other Service Providers |
| Taxonomy Classification | Military Health Care Provider |
| Definition | An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Effective Date | September 30, 2009 |