JENISHA RAE MERMIS


Address: 1090 Arnold Dr, Little Rock Afb, AR 72099-4933
Phone: 5203089190

JENISHA RAE MERMIS (NPI# 1407409428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407409428
Entity Type Individual
Full Name JENISHA RAE MERMIS
Practice Address 1090 Arnold Dr
Little Rock Afb
AR 72099-4933
Mailing Address 327 W Sunset Rd Apt 2228
San Antonio
TX 78209-1750
Practice Telephone 5203089190
Enumeration Date 2019-07-18
Last Update Date 2019-07-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Office Location

Street Address 1090 ARNOLD DR
City LITTLE ROCK AFB
State AR
Zip Code 72099-4933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558353524 Ruth Paula Gullotta Pediatrics 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2005-08-16
1669087961 Franko Salazar Physician Assistant 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2020-09-14
1023642840 Cara D Roth Social Worker 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2020-03-02
1154971513 Timothy Ryan Southerland Psychologist 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2019-09-18
1457810848 Dennis Dale Jackson II Pharmacist 1090 Arnold Dr, Little Rock Afb, AR 72099 2019-03-15
1053877902 Chase Andrew Cannon Physician Assistant 1090 Arnold Dr, Little Rock Afb, AR 72099-2502 2019-02-15
1235600461 Leeanne Elizabeth Ogle Military Health Care Provider 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2018-12-16
1972078004 Meghan Rachelle Dailey Physician Assistant 1090 Arnold Dr, Little Rock Afb, AR 72099-1043 2018-10-04
1760977979 Lashica Davis Pharmacist 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2018-06-29
1871019992 Brendan T Bilski Dentist 1090 Arnold Dr, Little Rock Afb, AR 72099-5529 2017-08-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356876577 Little Rock Air Force Base Eye Care Optometrist 6th Street, Bldg 787, Little Rock Air Force Base, Little Rock, AR 72099 2017-04-25
1841636206 National Vision Optical Technician/Technologist Bldg 787 6th St., Little Rock, AR 72099 2013-05-13
1134341076 Keisha Denythia Henry Psychologist 314 Medical Group, Life Skills Support Center, 1090 Arnold Drive, Little Rock Afb, AR 72099 2007-05-02
1699213454 Teryn Ardell Freeman Physician Assistant 19th Medical Group, 1090 Arnold Drive, Little Rock, AR 72099 2017-02-01
1730314899 Andrew Chichick Iv Military Health Care Provider 1090 Arnold Drive, 19 Amds/sgpf, Little Rock Afb, AR 72099 2009-05-19
1427316488 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) 6 Th St Bldg 787, Little Rock Afb, AR 72099-0001 2012-04-27
1700174828 Lewis Mark Wiggins Family Medicine 19th Medical Group, Jacksonville, AR 72099-0001 2011-07-11
1104052158 Seth Thomas Tolliver Nurse Practitioner 101 Master Sergeant Dan Wassom, Little Rock Afb, AR 72099-0001 2009-06-04
1316171994 Jeff J. Sandoval Military Health Care Provider 19 Amds Sgopf, 1090 Arnold Dr, Little Rock Afb, AR 72099-0001 2009-05-11
1366610198 Robert Anthony Olivi Jr. Physician Assistant 19th Medical Group 1090 Arnold Drive, Little Rock Air Force Base, AR 72099-0001 2008-02-14
Find all providers in zip 72099

Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316171994 Jeff J. Sandoval Military Health Care Provider 19 Amds Sgopf, 1090 Arnold Dr, Little Rock Afb, AR 72099-0001 2009-05-11
1235600461 Leeanne Elizabeth Ogle Military Health Care Provider 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2018-12-16
1427351030 Tiffani Mckee Military Health Care Provider 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2010-12-21
1730314899 Andrew Chichick Iv Military Health Care Provider 1090 Arnold Drive, 19 Amds/sgpf, Little Rock Afb, AR 72099 2009-05-19
1487888574 Tommy Nelson Belcher Military Health Care Provider 1090 Arnold Dr, Little Rock Afb, AR 72099-4933 2009-05-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174045868 Jonathan Rashad Habersham Military Health Care Provider 1255 Vandenberg Dr, Jacksonville, AR 72099-4942 2017-07-13
1679025795 Claudia Irene Sloan Military Health Care Provider 1090 Arnold Dr, Jacksonville, AR 72099-4933 2016-10-25
1770718017 Christopher John Hoar Military Health Care Provider 1090 Arnold Dr, Bldg 1090/flight Medicine, Lr Afb, AR 72099-4933 2009-05-15

Competitor

Search similar providers

City LITTLE ROCK AFB
Zip Code 72099

Improve Information

Please comment or provide details below to improve the information on JENISHA RAE MERMIS.

Dataset Information

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.

Trending Searches