MRS. LEESA M SMITH


Address: 10447b Longmire Rd, Fort Lewis, WA 98433
Phone: 2539703244

MRS. LEESA M SMITH (NPI# 1013200757) 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) 1013200757
Entity Type Individual
Full Name MRS. LEESA M SMITH
Credential IDMT
Practice Address 10447b Longmire Rd
Fort Lewis
WA 98433
Mailing Address 10447b Longmire Rd
Joint Base Lewis Mcchord
WA 98433-1357
Practice Telephone 2539703244
Mailing Telephone 2539703244
Enumeration Date 2011-05-26
Last Update Date 2011-05-26
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
TX Other Service Providers

Other Providers LEESA SMITH

NPI Name Taxonomy Address Enumeration
1801368873 Leesa Clark Smith Technician 416 Bristle Cone Ln, Naples, FL 34113-8308 2019-01-01
1811199276 Leesa Lanelle Smith Counselor 13851 Oak Haven Dr, Moss Point, MS 39562-9165 2007-06-05
1629179791 Leesa Hogg Smith Optometrist 1607 Highway 1 S, Greenville, MS 38701-7832 2006-09-25

Office Location

Street Address 10447B LONGMIRE RD
City FORT LEWIS
State WA
Zip Code 98433

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134739881 Bryonna Floyd Dental Assistant 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 2020-08-07
1790393213 Matthew T Ellison Dentist Dental Clinic 2, 3740 South 14th St., Joint Base Lewis-mcchord, WA 98433 2020-07-21
1952933251 Julie Kristen Dutler Dental Hygienist 11572 C St, Jblm, WA 98433 2020-02-05
1881224806 James Eric Carvelli Dental Assistant 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 2020-01-17
1245891019 Tanya Latrell Lesane Counselor 9924b W. Johnson St, Joint Base Lewis0mcchord, WA 98433 2019-06-24
1740844224 Allison Tracy Bertoni Student in an Organized Health Care Education/Training Program 3740 South 14th Street, Joint Base Lewis-mcchord, WA 98433 2019-04-30
1124682448 Lori Ann Sage Registered Nurse Building 11582, 17th & C Street, Joint Base Lewis-mcchord, WA 98433 2019-04-23
1639645997 Emily Elisabeth Armstrong Emergency Medical Technician, Paramedic 3370 Evergreen Ave, Jblm, WA 98433 2018-10-15
1982182101 Won Kyung Yang Dentist 11582 C St., Jblm, WA 98433 2018-07-31
1205325966 Gloria Judith Penate I Dental Hygienist 2103 North Division Street, Tacoma, WA 98433 2018-05-08
Find all providers in zip 98433

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 state

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
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
1730691148 Bryce Ferland Military Health Care Provider 701 Hospital Loop, Fairchild Afb, WA 99011-8704 2017-10-26
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Competitor

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City FORT LEWIS
Zip Code 98433

Improve Information

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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.

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