STEPHEN KREIDLER (NPI# 1801496625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801496625 |
| Entity Type | Individual |
| Full Name | STEPHEN KREIDLER |
| Practice Address |
5453 Roosevelt Loop Ne Rio Rancho NM 87144-5218 |
| Practice Telephone | 2533300588 |
| Mailing Telephone | 2533300588 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| 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 |
5453 ROOSEVELT LOOP NE |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87144-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368916 | Hannah's Helping Hands, LLC | Home Health | 7033 Kalgan Rd. Ne, Rio Rancho, NM 87144 | 2020-05-19 |
| 1740823673 | Valentina Baldenado | Technician | 7011 Overview Rd Ne, Rio Rancho, NM 87144 | 2019-10-23 |
| 1891341996 | Chelsea Spraberry | Psychologist | 2600 College Blvd, 2nd Floor, Rio Rancho, NM 87144 | 2019-08-14 |
| 1760920714 | Veronica Villa-chavez | Specialist/Technologist, Other | 900 Starry Sky Ave Ne, Rio Rancho, NM 87144 | 2017-02-09 |
| 1053790709 | Bessie Abraham | Anesthesiology | Srmc - Unm Sandoval Regional Medical Center, 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144 | 2015-05-28 |
| 1326473638 | Lisa Nicole Melendez | Massage Therapist | 3610 Havasu Falls St Ne, Rio Rancho, NM 87144 | 2013-09-05 |
| 1245674563 | Courtney Meredith Lapham-simpson | Emergency Medicine | 3001 Broadmoor Blvd. Ne, Rio Rancho, NM 87144 | 2013-04-18 |
| 1164772232 | Annmarie Boyd | Social Worker | 5737 Quay Dr Ne, Rio Rancho, NM 87144 | 2012-09-14 |
| 1346590833 | Rio Rancho Public Schools | Local Education Agency (LEA) | 1600 Loma Colorado Ne, Rio Rancho, NM 87144 | 2012-09-12 |
| 1356690804 | Geno Health Services LLC | Community/Behavioral Health | 3560 Shiloh Rd. Ne, Rio Rancho, NM 87144 | 2012-08-30 |
| Find all providers in zip 87144 | ||||
| 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 |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1144797556 | William Murphy Whittle | Military Health Care Provider | 2000 Hallum St, Clovis, NM 88101-8684 | 2018-10-24 |
| 1265983068 | Yurikoaokio Motomochi Livas | Military Health Care Provider | 209 Wilmington Cir, Clovis, NM 88101-9382 | 2016-10-18 |
| 1245614544 | Rowland Coyle | Military Health Care Provider | 701 Stephen Moody Rd, Albuquerque, NM 87117 | 2015-07-16 |
| 1972939585 | Eugene Navarro Tabita | Military Health Care Provider | 4050a Greenhouse Pl Se, Albuquerque, NM 87116-3008 | 2013-09-16 |
| 1043553217 | Amanda Colyer | Military Health Care Provider | 2050 2nd St Se # A, Albuquerque, NM 87117-5522 | 2013-04-05 |
| 1831438357 | John Frederick Rinaldi | Military Health Care Provider | 3500 Adenmore Ct, Apt C, Clovis, NM 88101 | 2013-02-04 |
| 1003176389 | Ricky Franco Vela | Military Health Care Provider | 8101a W Sandia Cir Se, Albuquerque, NM 87116-5501 | 2012-05-21 |
| 1740583350 | Norma P Grandberry | Military Health Care Provider | 1501 Westchester St, Clovis, NM 88101-4638 | 2010-12-21 |
| 1609186139 | Jeramy Byrd | Military Health Care Provider | 9410 A Vermont Court, Clovis, NM 88101 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
| City | RIO RANCHO |
| Zip Code | 87144 |
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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.