JESSICA FAY LAGERVELD (NPI# 1104069483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104069483 |
| Entity Type | Individual |
| Full Name | JESSICA FAY LAGERVELD |
| Credential | IDMT |
| Practice Address |
Psc 80 Box 17309 Apo AP 96367-0074 |
| Practice Telephone | 2295164463 |
| Mailing Telephone | 2295164463 |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| Street Address |
PSC 80 BOX 17309 |
| City | APO |
| State | AP |
| Zip Code | 96367-0074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260311 | Doria Living | Registered Nurse | Ushno, Fpo, AP 96367 | 2020-09-16 |
| 1417467705 | Lindsay Grainger | Behavioral Analyst | 9815 Arnold Terrace, Kadena Air Base, Apo, AP 96367 | 2017-10-02 |
| 1942678289 | Zachary Cabana | Physical Therapist | 18th Medical Group/sgoy Kadena Ab, Apo, AP 96367 | 2015-09-03 |
| 1992039325 | Angela K Phillips | Nurse Practitioner | 626 Vincent Ave, 18th Medical Group, Apo, AP 96367 | 2009-10-02 |
| 1427224740 | Alberto Victor Cordova | Social Worker | Psc 80 Box 20251, Fpo, AP 96367 | 2008-05-06 |
| 1134397011 | Lesley M. Birdwell | Pharmacist | Psc 80 Box 10237, Apo, US 96367 | 2008-02-13 |
| 1891997474 | Risa A Bastien | Dentist | 18th Dental Squadron, Kadena Air Base, Apo, AP 96367 | 2007-06-05 |
| 1144369125 | Douglas Peter Olson | Dentist | Kadena Ab, Unit 5270, Apo, AP 96367 | 2007-02-06 |
| 1477614733 | Ann Victoria Jorstad | Military Health Care Provider | Edis Clinic, Psc 482 Box 1600, Fpo, AP 96367 | 2006-12-12 |
| 1376611236 | Jessica S Beal | Dietitian, Registered | Psc 80 Box 20398, Apo, AP 96367 | 2006-11-30 |
| Find all providers in zip 96367 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| 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. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166656 | Samuel Mow | Military Health Care Provider | Landshul Regional Medical Center, Apo, AE 09180 | 2019-10-28 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1346711579 | Jimbell Gray | Military Health Care Provider | Building #932, Apo, AE 09464 | 2018-12-16 |
| 1942784442 | Christopher Allen Foster | Military Health Care Provider | 18th Medical Group, Bldg 626, Unit 5142, Apo, AP 96368-5142 | 2018-09-20 |
| 1497294359 | Ryan Springer | Military Health Care Provider | Psc 41 Box 2116, Apo, AE 09464-0022 | 2017-02-13 |
| 1205387081 | Joshua Gratz | Military Health Care Provider | 48mdh/sghc Unit 5115, Apo, AE 09461 | 2016-10-17 |
| 1316322506 | Andrew Bowers | Military Health Care Provider | Psc 2, Box 8707, Apo, AE 09012 | 2015-07-29 |
| 1689060311 | Kody Whiteside | Military Health Care Provider | 99 Friendship Bldv, Apo, AP 96319-0061 | 2015-04-09 |
| 1912392333 | Jennifer Chilson | Military Health Care Provider | Bldg 3531 Unit 5247 B 10, Apo, AP 96368 | 2015-04-02 |
| 1720409675 | Emily Porter | Military Health Care Provider | Psc 17 Box 66, Apo, AE 09214-0001 | 2013-12-19 |
| Find all providers in APO | ||||
Please comment or provide details below to improve the information on JESSICA FAY LAGERVELD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.