| NPI | Name | Type | Address |
|---|---|---|---|
|
Alisha Victoria Clark |
Individual |
2507 Old Saint Augustine Rd Tallahassee, FL |
|
|
MR. NREMT Zachary Lennon Bradley |
Individual |
400 E 9th St Ste 0040 Vha- Emergency Management Kansas City, MO |
|
|
Jose Edwin Aviles |
Individual |
5955 Zeamer Ave Elmendorf Afb, AK |
|
|
Dillon Ray Dyar |
Individual |
301 Fisher St Biloxi, MS |
|
|
IDMT Hyo Tac Im |
Individual |
2900 Doolittle Dr Ellsworth Afb, SD |
|
|
IDMT Bob Keophakdy |
Individual |
204 W Hill Blvd Charleston, SC |
|
|
Lance Bryan Derosier |
Individual |
300 N Short St Fairchild Afb, WA |
|
|
Terry Lorne Riffenburg |
Individual |
4881 Sugar Maple Dr Wright Patterson Afb, OH |
|
|
Elizabeth Maria Reyna |
Individual |
238 Brookley Ave Sw Bolling Afb, DC |
|
|
Desmond Jacob Marroquin |
Individual |
2418 Sunflower Ter Vista, CA |
|
|
MISS Marina Thais Stevens |
Individual |
1100 Wilford Hall Loop Bldg 4554 Lackland Afb, TX |
|
|
Shawn Regina Mcmahan |
Individual |
3488 Garden Ave Jbsa Ft Sam Houston, TX |
|
|
Rhannieboy Mendoza Espiritu |
Individual |
411 Polifka Dr Shaw Afb, SC |
|
|
IDHS Justine Nica Moriarty |
Individual |
650 S Harbor Dr Grand Haven, MI |
|
|
IDMT Sarah Nicole Thompson |
Individual |
8497 Rickenbacher Ave Jber, AK |
|
|
MR. CST Pedro Juan Gonzalez |
Individual |
9500 Armed Forces Reserve Dr Orlando, FL |
|
|
MRS. IDHS, NREMT Kristine Joy Macaraeg |
Individual |
15100 Rescue Way Clearwater, FL |
|
|
Brandy Noakes |
Individual |
72nd Amds/sgpf 7050 Air Depot Blvd, Bldg 1094 Tinker Afb, OK |
|
|
Scott Breitler Engler |
Individual |
1020 N Access Road San Francisco, CA |
|
|
Cookie Oakley |
Individual |
49000 Army Guard Road Jber, AK |
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 |