STEPHANIE FIKE (NPI# 1366865321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366865321 |
| Entity Type | Individual |
| Full Name | STEPHANIE FIKE |
| Credential | IDMT |
| Practice Address |
2804 Winners Circle Dr Navarre FL 32566-8820 |
| Practice Telephone | 8503771919 |
| Mailing Telephone | 8503771919 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |
| 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 |
|---|---|---|---|---|
| 1356512669 | Stephanie Kay Fike | Occupational Therapist | 5300 N Independence Ave Ste 100, Oklahoma City, OK 73112-5550 | 2008-03-13 |
| Street Address |
2804 WINNERS CIRCLE DR |
| City | NAVARRE |
| State | FL |
| Zip Code | 32566-8820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639795347 | Carole Anne Basel | Developmental Therapist | Emerald Coast Behavior Inc, 8418 E Bay Blvd, Navarre, FL 32566 | 2020-06-18 |
| 1639793276 | Holley-navarre Pharmacy & Gifts | Pharmacy | 8440 Nevada St., Navarre, FL 32566 | 2020-05-29 |
| 1144875154 | Rhonda C Brousseau | Technician | 3115 Holley Point Road, Navarre, FL 32566 | 2019-08-06 |
| 1710334784 | Earnestine Carswell | Counselor | 7552 Navarre Pkwy Unit 24, Navarre, FL 32566 | 2016-05-19 |
| 1912383100 | Elsa L Konkolics | Nurse Practitioner | 220 Navarre Pkwy, Navarre, FL 32566 | 2015-08-11 |
| 1457790875 | Caige Carter Chapman | Military Health Care Provider | 1935 Jo Tam Lane, Navarre, FL 32566 | 2013-06-19 |
| 1891046785 | Tamara L Fernald | Massage Therapist | 1796 Navarre Sound Cir., Navarre, FL 32566 | 2012-10-02 |
| 1669737383 | Kelly Anne Blackburn | Occupational Therapist | 2287 Meadow Mist Ct, Navarre, FL 32566 | 2012-07-09 |
| 1568603702 | First Class Md, Pa | Clinic/Center | 7552 Navarre Parkway, Suite 5, Navarre, FL 32566 | 2009-03-18 |
| 1780806596 | Elizabeth Gazzola Brazeau | Occupational Therapist | 7347 Brewster Street, Navarre, FL 32566 | 2007-05-02 |
| Find all providers in zip 32566 | ||||
| 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 |
|---|---|---|---|---|
| 1881197069 | David Joseph Bergstrom | Military Health Care Provider | 2293 Frontera St, Navarre, FL 32566-6202 | 2018-03-14 |
| 1457790875 | Caige Carter Chapman | Military Health Care Provider | 1935 Jo Tam Lane, Navarre, FL 32566 | 2013-06-19 |
| 1326346776 | Carla D Morgan | Military Health Care Provider | 7964 Promise Creek Rd, Navarre, FL 32566-5529 | 2011-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994394 | Nathaniel Clay Hollandsworth | Military Health Care Provider | 517 Harrison Dr, Hurlburt Field, FL 32544-1100 | 2019-10-23 |
| 1316592355 | Tiffany Nicole Monroe | Military Health Care Provider | 6280 Ferguson Dr, Pensacola, FL 32503-7769 | 2019-08-06 |
| 1144723321 | Paris Johnae Milton | Military Health Care Provider | 340 Magnolia Cir # 5612, Tyndall Afb, FL 32403-5604 | 2018-03-14 |
| 1538681226 | Qynne M Shoemaker | Military Health Care Provider | 1008 E Strawbridge Ave, Melbourne, FL 32901-4909 | 2017-07-13 |
| 1891196531 | Lorex Boy Lagora | Military Health Care Provider | 1010 Nw 91st St, Miami, FL 33150-2352 | 2014-09-12 |
| 1639506579 | Aaron Newby | Military Health Care Provider | 3434 Skysail Pl, Tampa, FL 33607-5828 | 2013-10-10 |
| 1821439712 | Eric John Muelhausen | Military Health Care Provider | 6151 Evergreen Pkwy, Crestview, FL 32539-7702 | 2013-07-09 |
| 1164861704 | Jared Steven Sleeman | Military Health Care Provider | 524 Tikell Dr, Crestview, FL 32536-5427 | 2013-06-17 |
| 1467707638 | Jennifer Denise Mathis | Military Health Care Provider | 913 Claeven Cir, Fort Walton Beach, FL 32547-4257 | 2012-07-13 |
| 1306103254 | Wanda Mendez | Military Health Care Provider | 4558 Hermosa Rd, Crestview, FL 32539-6731 | 2012-04-17 |
| 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.