BRITTANY CORRIN SOUDER (NPI# 1285250597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285250597 |
| Entity Type | Individual |
| Full Name | BRITTANY CORRIN SOUDER |
| Credential | IDMT |
| Practice Address |
1600 Aldene Drive Fe Warren Afb WY 82005 |
| Mailing Address |
1819 Copperville Rd Cheyenne WY 82001-6562 |
| Practice Telephone | 3077578871 |
| Mailing Telephone | 3077578871 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558764944 | Brittany Souder | Physical Therapist | 12297 Pennsylvania St, Suite 3, Thornton, CO 80241-3165 | 2014-09-30 |
| 1285035964 | Brittany Souder | Pharmacist | 3740 Cascade Rd Sw, Atlanta, GA 30331-2108 | 2014-09-12 |
| Street Address |
1600 ALDENE DRIVE |
| City | FE WARREN AFB |
| State | WY |
| Zip Code | 82005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093368110 | Aaron Michael Keating | Student in an Organized Health Care Education/Training Program | Mental Health Clinic, 90th Omrs, Fe Warren Clinic, Fe Warren Afb, WY 82005 | 2019-07-17 |
| 1477643823 | Paul Hoon Kim | Dentist | 90 Mdos, 6900 Alden Dr, F.e. Warren Afb, WY 82005 | 2006-10-14 |
| 1568495315 | Joseph Myles Simpson, Jr. | Dentist | F E Warren Air Force Base Dental Clinic, 6900 Alden Drive, Cheyenne, WY 82005 | 2006-07-07 |
| 1679953640 | Mary Frances Macleod | Pediatrics | 6900 Alden Dr, Fe Warren Afb, WY 82005 | 2015-06-04 |
| 1306864632 | Lisa Sung Eun Lee | Pharmacist | 6900 Alden Drive, Fe Warren Afb, WY 82005 | 2006-07-17 |
| 1225097371 | George Miller Hilgendorf Jr. | Dentist | 6900 Alden Dr, 90 Mdg, Fe Warren Afb, WY 82005 | 2006-03-18 |
| 1194716159 | Steven L Martin | Physician Assistant | 6900 Alden Dr, Cheyenne, WY 82005 | 2005-10-31 |
| 1992957252 | Perala Enterprises, LLC | Eyewear Supplier (Equipment, not the service) | 6207 Missile Dr, Building 722, Ft Warren Afb, WY 82005-2407 | 2008-10-17 |
| 1972157808 | James Turvy | Dentist | 6900 Alden Dr Bldg 160, Fe Warren Afb, WY 82005-2945 | 2019-07-29 |
| 1548814890 | Jonathan R Courtright | Physician Assistant | 6900 Alden Dr, Cheyenne, WY 82005-2945 | 2019-07-25 |
| Find all providers in zip 82005 | ||||
| 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 |
|---|---|---|---|---|
| 1669608881 | Jeremy Don Astin | Military Health Care Provider | 6900 Alden Dr, Fe Warren Afb, WY 82005-3906 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003044637 | Jeremy Jones | Military Health Care Provider | 6900 Alden Dr, 90 Mdg/mdos, Cheyenne, WY 82005-3906 | 2009-06-22 |
| City | FE WARREN AFB |
| Zip Code | 82005 |
Please comment or provide details below to improve the information on BRITTANY CORRIN SOUDER.
| 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.