AMANDA N FAWSON (NPI# 1003278300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003278300 |
| Entity Type | Individual |
| Full Name | AMANDA N FAWSON |
| Credential | IDMT |
| Practice Address |
2155 Grant Ave Apt 241 Ogden UT 84401-1462 |
| Practice Telephone | 4358404113 |
| Mailing Telephone | 4358404113 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |
| 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 |
2155 GRANT AVE APT 241 |
| City | OGDEN |
| State | UT |
| Zip Code | 84401-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
| 1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
| 1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
| 1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
| 1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
| 1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
| 1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
| 1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
| 1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
| 1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
| Find all providers in zip 84401 | ||||
| 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 |
|---|---|---|---|---|
| 1689000291 | Thomas Haney | Military Health Care Provider | 381 N Washington Blvd, Apt M304, Ogden, UT 84404-3913 | 2013-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235513540 | Joshua David Stumpf | Military Health Care Provider | 570 Balmer Street, Hill Afb, UT 84056 | 2015-07-16 |
| 1427322353 | Jeffrey C Guerttman | Military Health Care Provider | 4067 Roxbury Cir Apt B, Hill Afb, UT 84056-1346 | 2012-02-23 |
| 1366672750 | Dane J Tackitt | Military Health Care Provider | 7338 Loncki St, Hill Afb, UT 84056-7300 | 2009-07-20 |
| 1568696599 | Deborah Ann Ciesla | Military Health Care Provider | 7985 Browning St Bldg 1781, Hill Afb, UT 84056-5912 | 2009-05-05 |
| 1003050360 | Victoria M Weiger | Military Health Care Provider | 6475 Warrior Way, 729 Acs/sg, Hill Afb, UT 84056-5961 | 2009-04-29 |
| 1730322926 | Tamera Jo Hall | Military Health Care Provider | 7321 Balmer St Bldg 569, Hill Afb, UT 84056-5012 | 2009-04-17 |
| 1639402308 | Stephen Jackson Chambers | Military Health Care Provider | 6475 Warrior Way, Building 1948, Hill Afb, UT 84056-5961 | 2009-09-14 |
| 1477781953 | Ray J Angel | Military Health Care Provider | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2009-06-23 |
| 1295962207 | Patricia Mottram | Military Health Care Provider | 7321 Balmer St Bldg 569, Hill Afb, UT 84056-5012 | 2009-06-17 |
| 1871727487 | Chrystal Cefaratti | Military Health Care Provider | 7321 Balmer St Bldg 569, 75th Amds/sgpf, Hill Air Force Base, UT 84056-5012 | 2009-05-11 |
| 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.