JAMES R LUEDTKE (NPI# 1710948245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710948245 |
| Entity Type | Individual |
| Full Name | JAMES R LUEDTKE |
| Credential | INDEPENDENT DUTY HM |
| Practice Address |
5722 Integrity Drive, Bldg S771 Nbhc, Nsa Mid-south Millington TN 38054 |
| Mailing Address |
5722 Integrity Drive C/o Commander Navy Recruiting Command Millington TN 38045-5057 |
| Practice Telephone | 9018746100 |
| Mailing Telephone | 9018749417 |
| Enumeration Date | 2006-04-02 |
| Last Update Date | 2008-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | USN HM8425-9002 | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5722 INTEGRITY DRIVE, BLDG S771 NBHC, NSA MID-SOUTH |
| City | MILLINGTON |
| State | TN |
| Zip Code | 38054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073137758 | Stephanie Nicole Zuckerman | Psychologist | Intrepid Street, Bldg. S-771, Millington, TN 38054 | 2020-05-29 |
| 1992243000 | Paul Livernois | Pharmacist | S-752 Tarawa Ave, Millington, TN 38054 | 2017-02-09 |
| 1962751149 | Megan Nicole Seay Shelton | Dentist | 5722 Integrity Drive Building S-771, Millington, TN 38054 | 2012-09-05 |
| 1710208178 | Michael W Johns | Family Medicine | 5722 Intregrity Dr. Bldg. S771, Branch Medical Clinic Nsa Mid-south, Millington, TN 38054 | 2010-06-18 |
| 1053526996 | Ira N.b. Davis | Optometrist | Nex - Midsouth, Bldg S752, Millington, TN 38054 | 2007-05-14 |
| 1487746236 | Robert Dennis Preston Jr. | Military Health Care Provider | Brach Medical Clinic, Naval Support Activity Mid-south, Millington, TN 38054 | 2006-09-29 |
| 1366486086 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Nex - Navy Support Activity - Memphis, Bldg. S752, Millington, TN 38054 | 2006-06-15 |
| 1316915333 | Charles Barry Collier | Military Health Care Provider | Branch Medical Clinic, Nsa Mid South, 5722 Integrity Dr Bldg, Millington, TN 38054 | 2006-03-08 |
| 1154391977 | Jose Calixto De La Pena | Family Medicine | 5722 Intergrity Dr., Blgd S771 (nbhc Midsouth, Millington, TN 38054 | 2006-01-24 |
| 1003891490 | Thomas Mitchell Prater | Dentist | 5722 Integrity Drive, Bldg. S771, Millington, TN 38054 | 2005-12-08 |
| Find all providers in zip 38054 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982153656 | Rachel Jo Levault | Technician, Other | 8706 State Rd, Millington, MI 48746-9665 | 2016-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594674 | Alphonso Harvey | Technician, Other | 810 Dominican Dr # 223, Nashville, TN 37228-1906 | 2019-02-11 |
| 1548700347 | Terminix International | Technician, Other | 860 Ridge Lake Blvd, Mailstop B2-4092, Memphis, TN 38120-9434 | 2017-02-28 |
| 1871044073 | Amelia Dressel | Technician, Other | 9051 Executive Park Dr Ste 302, Knoxville, TN 37923-4627 | 2016-10-22 |
| 1356896914 | Daniel Hekman | Technician, Other | 1710 E 12th St, Chattanooga, TN 37404-4302 | 2016-08-23 |
| 1780139832 | Jenny Lindemann | Technician, Other | 2623 Holly Rock Dr, Clarksville, TN 37040-2828 | 2016-08-18 |
| 1003267717 | Devonja Harris | Technician, Other | 539 E Chester St, Jackson, TN 38301-7062 | 2016-06-23 |
| 1366806648 | Alicia Therese Flanery | Technician, Other | 770 Needmore Rd, Apt 22, Clarksville, TN 37040-6275 | 2016-04-12 |
| 1730568098 | Blythe Valencia Reich | Technician, Other | 238 Village Sq, Suite 300, Pleasant View, TN 37146-7178 | 2015-05-20 |
| 1124414586 | Elizabeth Marmande | Technician, Other | 1709b Nassau St, Nashville, TN 37208-2103 | 2015-04-13 |
| 1275929788 | David Reichley | Technician, Other | 2134 14th Ave N, Nashville, TN 37208-1113 | 2015-04-10 |
| Find all providers with the same taxonomy | ||||
| City | MILLINGTON |
| Zip Code | 38054 |
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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.