AUSTIN PUENTE (NPI# 1184047144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184047144 |
| Entity Type | Individual |
| Full Name | AUSTIN PUENTE |
| Credential | IDMT |
| Practice Address |
1069 Butler Dr Edwards CA 93523-2622 |
| Practice Telephone | 8324658000 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |
| Gender Code | M |
| 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 |
1069 BUTLER DR |
| City | EDWARDS |
| State | CA |
| Zip Code | 93523-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427373398 | Gregg Alexander Bendrick | Preventive Medicine | 4822 Mckay Ave, Nasa Dryden Flight Research Center, Edwards, CA 93523 | 2010-04-02 |
| 1831545623 | Lee Paschen | Physician Assistant | 30 Nightingale Road, Edwards Afb, CA 93523 | 2016-05-11 |
| 1730606658 | Jeffrey Rodriguez | Military Health Care Provider | 975 Carl Cir, Edwards, CA 93523-1906 | 2017-08-23 |
| 1306904875 | Terry Lee Coryell Stotler | Social Worker | 6719 Doolittle Dr, Edwards, CA 93523-2105 | 2006-12-05 |
| 1326414269 | Tamara Hopper Shoulders | Physical Therapist | 755 S Knight Dr, Edwards, CA 93523-2429 | 2015-08-14 |
| 1770775017 | Dawn L. Cotton | Student in an Organized Health Care Education/Training Program | 10 Eagle Ct, Edwards, CA 93523-2619 | 2007-08-10 |
| 1760887848 | Catherine Cook | Lactation Consultant, Non-RN | 1365 Levier St, Edwards, CA 93523-2705 | 2014-10-30 |
| 1649689514 | Erin Carey | Nurse's Aide | 1460 S Bikle Loop, Edwards, CA 93523-2707 | 2014-08-05 |
| 1134720832 | Shelina Hardwick-moses | Licensed Practical Nurse | 1391 Frost St, Edwards, CA 93523-2715 | 2020-11-08 |
| 1780720805 | Muroc Joint Unified School District | Local Education Agency (LEA) | 17100 Foothill Ave, North Edwards, CA 93523-3533 | 2007-01-29 |
| Find all providers in zip 93523 | ||||
| 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 |
|---|---|---|---|---|
| 1730606658 | Jeffrey Rodriguez | Military Health Care Provider | 975 Carl Cir, Edwards, CA 93523-1906 | 2017-08-23 |
| 1922409655 | Franklin Miranda | Military Health Care Provider | 55 N Wolfe Ave, Edwards, CA 93524-6201 | 2014-09-12 |
| 1619103298 | Jahnpayne Bowling | Military Health Care Provider | 1 Hospital Rd, Edwards, CA 93524-1701 | 2009-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051294 | Ryan Allan Arriaga | Military Health Care Provider | 1000 Allison Dr, Vacaville, CA 95687-4975 | 2020-07-27 |
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1558911024 | Christopher Andersen | Military Health Care Provider | 1000 Allison Dr Apt 183, Vacaville, CA 95687-4988 | 2019-09-17 |
| 1558873968 | Giovanni Oddo | Military Health Care Provider | 25051 Mawson Dr, Laguna Hills, CA 92653-5263 | 2017-10-26 |
| 1154847960 | James Edward Schafer | Military Health Care Provider | 883 Covey Ct, Hollister, CA 95023-8906 | 2017-08-15 |
| 1437551702 | Jonathan Saplan | Military Health Care Provider | 1411 Pelican Way, Suisun City, CA 94585-2330 | 2014-09-18 |
| 1093124398 | Benjamin Ryan Foy | Military Health Care Provider | 2784 Hornet Way, San Diego, CA 92106-6421 | 2014-08-12 |
| 1598182214 | Matthew Wheaton Burns | Military Health Care Provider | 105 Colorado St, Travis Afb, CA 94535-1255 | 2014-03-19 |
| 1508282658 | April Summers | Military Health Care Provider | 2205 Farrell Ave Apt 204, Redondo Beach, CA 90278-1846 | 2014-03-13 |
| 1942623707 | John Cardona | Military Health Care Provider | 1621 Wallingford Lane, Fairfield, CA 94533 | 2014-01-30 |
| Find all providers with the same taxonomy | ||||
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| 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.