VICTORIA F QUERIDO (NPI# 1881829802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881829802 |
| Entity Type | Individual |
| Full Name | VICTORIA F QUERIDO |
| Credential | IDMT |
| Practice Address |
701 Hospital Loop Fairchild Air Force Base WA 99011-8704 |
| Practice Telephone | 5092479167 |
| Practice Fax Number | 5092475925 |
| Mailing Telephone | 5092479167 |
| Mailing Fax Number | 5092475925 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |
| 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 |
701 HOSPITAL LOOP |
| City | FAIRCHILD AIR FORCE BASE |
| State | WA |
| Zip Code | 99011-8704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907692 | Mary Zachariah-kurian | Pediatrics | 701 Hospital Loop, Fhc, Fairchild Air Force Base, WA 99011-8704 | 2005-07-26 |
| 1437687803 | Boone Robinson Parkinson | General Practice | 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 | 2017-05-31 |
| 1316171549 | Joshua Karstan Pattee | Military Health Care Provider | 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 | 2009-05-01 |
| 1053551499 | Mai Lien Pham | Internal Medicine | 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 | 2009-02-25 |
| 1659533990 | Sayf R Munir | Family Medicine | 701 Hospital Loop, Suite 350, Fairchild Air Force Base, WA 99011-8704 | 2008-06-27 |
| 1548451412 | Paula Michelle Clark | Social Worker | 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 | 2007-08-06 |
| 1063554582 | Paula Jo Neemann | Registered Nurse | 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 | 2007-02-12 |
| 1528034980 | Jared William Nelson | Family Medicine | 701 Hospital Loop, 92 Medical Group, Fairchild Air Force Base, WA 99011 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939732 | Ruth Ann Sunde | Social Worker | 92d Medical Group/sgow, 701 Hospital Loop, Suite 259, Fairchild Afb, WA 99011 | 2019-02-26 |
| 1164992491 | Michael Thomas Stevens | Military Health Care Provider | 100 Hospital Loop, Fairchild Afb, WA 99011 | 2018-11-29 |
| 1174032569 | Elizabeth Andrews | Registered Nurse | 400 W Fairchild Highway, Fairchild Afb, WA 99011 | 2017-09-28 |
| 1770031171 | Mariah Combs | Behavioral Analyst | 5298 B Sycamore Street, Fairchild Afb, WA 99011 | 2016-09-14 |
| 1770960957 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 101 W. Spaatz Rd., Bldg 2465, Fairchild Afb, WA 99011 | 2015-04-27 |
| 1306191689 | Patricia Kaye Catrow | Family Medicine | 701 Hospital Loop Bldg 9000, Fairchild Afb, WA 99011 | 2012-07-23 |
| 1205102761 | 92nd Medical Group | Military/U.S. Coast Guard Pharmacy | 103 Saatz Rd, Fairchild Afb, WA 99011 | 2012-03-29 |
| 1992078554 | Alyssa Marie Degeyter | Community Health Worker | 7272 A Nebraska Ave, Fairchild Air Force Base, WA 99011 | 2012-02-13 |
| 1730317728 | Nicholas James Graham | Military Health Care Provider | 2504 S.chicago St, Fairchild Afb, WA 99011 | 2009-06-29 |
| 1922232099 | Pocco S Bussey | Military Health Care Provider | 92 Medical Group, Flight Medicine Clinic, Fairchild, WA 99011 | 2009-05-05 |
| Find all providers in zip 99011 | ||||
| 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 |
|---|---|---|---|---|
| 1831328152 | Thomas Jerrod Ricketson | Military Health Care Provider | 2504 S Chicago St, Fairchild Air Force Base, WA 99011-8548 | 2009-07-08 |
| 1316171549 | Joshua Karstan Pattee | Military Health Care Provider | 701 Hospital Loop, Fairchild Air Force Base, WA 99011-8704 | 2009-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598232902 | Jozlinn Rae | Military Health Care Provider | 3710 N Garry Rd, Otis Orchards, WA 99027-9397 | 2018-10-24 |
| 1790236503 | Mark Friskel | Military Health Care Provider | 5759a Fort Wright Oval, Fairchild Afb, WA 99011-2203 | 2016-10-17 |
| 1356682702 | Stacie Michelle Hoeger | Military Health Care Provider | 7505 N Wall St, Spokane, WA 99208-6104 | 2013-03-11 |
| 1013200757 | Leesa M Smith | Military Health Care Provider | 10447b Longmire Rd, Fort Lewis, WA 98433 | 2011-05-26 |
| 1730317728 | Nicholas James Graham | Military Health Care Provider | 2504 S.chicago St, Fairchild Afb, WA 99011 | 2009-06-29 |
| 1922232099 | Pocco S Bussey | Military Health Care Provider | 92 Medical Group, Flight Medicine Clinic, Fairchild, WA 99011 | 2009-05-05 |
| 1699919696 | Jason Stone Weiss | Military Health Care Provider | 3222 E 35th Ave, Spokane, WA 99223-4125 | 2009-04-22 |
| 1083783336 | Ronald Merel Husman | Military Health Care Provider | Uss Ford Ffg 54, Attn Medical Department, Fpo Ap, WA 96665-1508 | 2006-11-08 |
| 1053370254 | Erica Clarkson | Military Health Care Provider | Madigan Physical Therapy, Tacoma, WA 98431-0001 | 2006-03-17 |
| 1982175113 | Miguel Antonio Rodriguez Jr. | Military Health Care Provider | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2018-12-16 |
| Find all providers with the same taxonomy | ||||
| City | FAIRCHILD AIR FORCE BASE |
| Zip Code | 99011 |
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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.