MRS. RACHONN SHALETTE WILLIAMSON (NPI# 1346484805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346484805 |
| Entity Type | Individual |
| Full Name | MRS. RACHONN SHALETTE WILLIAMSON |
| Credential | IDMT |
| Practice Address |
243 Curtiss Rd St 100 (2amds/sgpf) Barksdale Afb LA 71110-2425 |
| Mailing Address |
243 Curtiss Rd 2 Amds/sgpf (suite 100) Barksdale Afb LA 71110-2425 |
| Practice Telephone | 3184566418 |
| Practice Fax Number | 3184568065 |
| Mailing Telephone | 3184566418 |
| Mailing Fax Number | 3184568065 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-30 |
| 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 |
243 CURTISS RD ST 100 (2AMDS/SGPF) |
| City | BARKSDALE AFB |
| State | LA |
| Zip Code | 71110-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195518 | Kim Michael Schoeffel | Pediatrics | 243 Curtiss Rd, 2 Mdg Suite 100, Barksdale Afb, LA 71110-2425 | 2005-09-20 |
| 1487281937 | Laura Andrea Londono | Student in an Organized Health Care Education/Training Program | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2020-03-25 |
| 1962040956 | Angelo Boss | Pharmacist | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2019-12-20 |
| 1497264949 | Milagros Galvez-gargurevich | Psychologist | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2017-09-28 |
| 1891179578 | Heather C Acres | Military Health Care Provider | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2015-07-13 |
| 1578945010 | Christopher Bailes | Family Medicine | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2015-06-21 |
| 1689075822 | Susanna Vee Weeks | Registered Nurse | 243 Curtiss Rd, Suite 100, Office # 1087, Barksdale Afb, LA 71110-2425 | 2014-09-08 |
| 1093139610 | Adrienne S. Williams | Pharmacist | 243 Curtiss Rd, Suite 100, Barksdale Afb, LA 71110-2425 | 2014-02-18 |
| 1851715122 | Barksdale Air Force Base | Clinic/Center | 243 Curtiss Rd, Suite 100, Barksdale Afb, LA 71110-2425 | 2014-02-07 |
| 1053658559 | Christy-lynne Marie Mcginnis | Physician Assistant | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2013-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029704 | Melissa Nicole Ratliff | Dentist | 234 Curtiss Rd, Barksdale Afb, LA 71110 | 2018-07-09 |
| 1174010268 | Jeffrey M Van Ness | Student in an Organized Health Care Education/Training Program | Air Force Base Dentist Clinic, Twining Drive, Barksdale Afb, LA 71110 | 2018-04-16 |
| 1538577028 | Kevin Adams | Dentist | 234 Curtiss Road, Barksdale Afb, LA 71110 | 2014-07-28 |
| 1881908960 | Maria T Kalmantis | Pediatrics | University Hospital Heraklion, Heraklion, CRETE 71110 | 2010-08-02 |
| 1992931539 | Jonathan Schulze | Dentist | 40 Barksdale Blvd, Barksdale Afb, Apo, AA 71110 | 2009-06-10 |
| 1649405846 | Sylvia Jean Wimberly | Social Worker | 243 Curtis Road, Bldg. 4546, Suite 100, Barksdale Afb, LA 71110 | 2009-05-18 |
| 1730313602 | Brian W Signal | Military Health Care Provider | 243 Cutiss Rd, 2 Mdg, Barksdale Afb, LA 71110 | 2009-05-07 |
| 1720298425 | Hap House | Day Training, Developmentally Disabled Services | 244 Turner Ave., Barksdaleafb, LA 71110 | 2007-05-23 |
| 1326197435 | Gigi Briones Russel Frost | Dental Hygienist | 1067 Twining Dr., Barksdale Afb, LA 71110 | 2007-01-09 |
| 1619034824 | Lakesha Wilson | Dental Hygienist | 1067 Twinning Dr., Bossier, LA 71110 | 2007-01-03 |
| Find all providers in zip 71110 | ||||
| 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 |
|---|---|---|---|---|
| 1902318314 | Alexander Arrieta | Military Health Care Provider | 1917 Liberty Ave S, Barksdale Afb, LA 71110-2162 | 2017-10-26 |
| 1790014660 | Athena Lee Castilleja Ezernack | Military Health Care Provider | 407 Barksdale Blvd E, Barksdale Afb, LA 71110-2125 | 2009-12-23 |
| 1730313602 | Brian W Signal | Military Health Care Provider | 243 Cutiss Rd, 2 Mdg, Barksdale Afb, LA 71110 | 2009-05-07 |
| 1891179578 | Heather C Acres | Military Health Care Provider | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2015-07-13 |
| 1598909970 | Jody Lee Ohmer | Military Health Care Provider | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2009-04-28 |
| 1194969550 | Charles Wayne Sheffield | Military Health Care Provider | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568803450 | Jenna Elizabeth Davila | Military Health Care Provider | 293 Avondale Ln, Bossier City, LA 71112-4266 | 2013-07-09 |
| 1043566698 | Mikka Slater | Military Health Care Provider | 1503 University Ave, Monroe, LA 71203-3550 | 2012-08-01 |
| 1033477757 | Shandy Gore | Military Health Care Provider | 5610 Buncombe Rd Apt 907, Shreveport, LA 71129-3617 | 2012-05-01 |
| 1710243126 | Mark Butanis | Military Health Care Provider | 3913 N I 10 Service Rd W Apt 239, Metairie, LA 70002-6828 | 2012-04-10 |
| 1053684985 | Rashad C. Holley | Military Health Care Provider | 1225 Villaggio Blvd, Bossier City, LA 71111-7438 | 2012-02-23 |
| City | BARKSDALE AFB |
| Zip Code | 71110 |
Please comment or provide details below to improve the information on MRS. RACHONN SHALETTE WILLIAMSON.
| 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.