SHELLA RITTENBERRY


Address: 1300 N L St Apt 141, Lompoc, CA 93436-3354
Phone: 8322310090

SHELLA RITTENBERRY (NPI# 1154632362) 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) 1154632362
Entity Type Individual
Full Name SHELLA RITTENBERRY
Credential IDMT
Practice Address 1300 N L St Apt 141
Lompoc
CA 93436-3354
Practice Telephone 8322310090
Mailing Telephone 8322310090
Enumeration Date 2010-06-23
Last Update Date 2010-06-23
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
Other Service Providers

Office Location

Street Address 1300 N L ST APT 141
City LOMPOC
State CA
Zip Code 93436-3354

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1225671498 Bonnie O'brien Technician 4174 Sirius Avenue, Lompoc, CA 93436 2019-10-21
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1548621014 Kimberly Gaynell Wiley Home Health Aide 610 East Pine St #34, Lompoc, CA 93436 2016-03-11
1386017960 Marcos Paul Cline Counselor 117 North 'b' Street, Lompoc, CA 93436 2015-11-04
1487045324 Angela Rose Robinson Case Manager/Care Coordinator 113 North H Street, Suite F, Lompoc, CA 93436 2015-02-13
1851795751 Alina Staniger Counselor 604 W Ocean, Lompoc, CA 93436 2014-10-21
1154750560 Lompoc Valley Medical Center General Acute Care Hospital 303 South C Street, Lompoc, CA 93436 2013-11-06
1598191488 David Lewis Mcaninch Iv Dentist 1111 East Ocean Avenue, Suite 9, Lompoc, CA 93436 2013-09-24
1336407048 Pamela Jordan Counselor 110 S. 'c' St. Ste. A, Family Service Agency, Lompoc, CA 93436 2012-05-01
1316220874 Zillah J. Hodgkins Counselor 513 N G St, Lompoc, CA 93436 2011-09-21
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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]

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1366051294 Ryan Allan Arriaga Military Health Care Provider 1000 Allison Dr, Vacaville, CA 95687-4975 2020-07-27
1851917165 Katelyn Renee Watson Military Health Care Provider 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 2020-06-23
1558911024 Christopher Andersen Military Health Care Provider 1000 Allison Dr Apt 183, Vacaville, CA 95687-4988 2019-09-17
1558873968 Giovanni Oddo Military Health Care Provider 25051 Mawson Dr, Laguna Hills, CA 92653-5263 2017-10-26
1730606658 Jeffrey Rodriguez Military Health Care Provider 975 Carl Cir, Edwards, CA 93523-1906 2017-08-23
1154847960 James Edward Schafer Military Health Care Provider 883 Covey Ct, Hollister, CA 95023-8906 2017-08-15
1437551702 Jonathan Saplan Military Health Care Provider 1411 Pelican Way, Suisun City, CA 94585-2330 2014-09-18
1093124398 Benjamin Ryan Foy Military Health Care Provider 2784 Hornet Way, San Diego, CA 92106-6421 2014-08-12
1598182214 Matthew Wheaton Burns Military Health Care Provider 105 Colorado St, Travis Afb, CA 94535-1255 2014-03-19
1508282658 April Summers Military Health Care Provider 2205 Farrell Ave Apt 204, Redondo Beach, CA 90278-1846 2014-03-13
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Competitor

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City LOMPOC
Zip Code 93436

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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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