MINDY ANN TUCKER (NPI# 1215137203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215137203 |
| Entity Type | Individual |
| Full Name | MINDY ANN TUCKER |
| Practice Address |
Bldg N-46 Cape Sarichef Kodiak AK 99619-5002 |
| Practice Telephone | 9074875757 |
| Practice Fax Number | 9074875360 |
| Mailing Telephone | 9074875757 |
| Mailing Fax Number | 9074875360 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |
| 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 |
BLDG N-46 CAPE SARICHEF |
| City | KODIAK |
| State | AK |
| Zip Code | 99619-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932172509 | Randall C Schick I | Family Medicine | Bldg N-46 Cape Sarichef, Kodiak, AK 99619-5002 | 2006-02-13 |
| 1164612123 | Kimberly D Britt | Dental Assistant | Bldg N-46 Cape Sarichef, Kodiak, AK 99619-5002 | 2007-07-26 |
| 1326248337 | Ronald Joseph Mulgrew | Military Health Care Provider | Bldg N-46 Cape Sarichef, Kodiak, AK 99619-5002 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255832069 | Johnathan Gunn | Military Health Care Provider | 200 Albatross Ave. Bldg N46, P.o. Box 190651, Kodiak, AK 99619 | 2018-02-27 |
| 1124416151 | Katelyn Braswell | Technician, Other | Base Kodiak Bldg N46, Kodiak, AK 99619 | 2014-12-29 |
| 1033517206 | United States Coast Guard | Clinic/Center | Base Kodiak Building N-46, Kodiak, AK 99619 | 2014-12-19 |
| 1891043642 | Lara Alohalani Schiffer | Technician, Other | N46 Cape Sarichef Rd, Rockmore King Clinic, Kodiak, AK 99619 | 2012-08-28 |
| 1114275807 | Bonnie Reilly | Technician, Other | Sarichef Rd Bldg N-46, Hswl Rockmore-king Clinic, Kodiak, AK 99619 | 2012-08-28 |
| 1730437427 | April Lynn Fieste | Technician, Health Information | Cape Sarichef Bldg N46, Uscg Hswl Rockmore King Clinic, Kodiak, AK 99619 | 2012-08-28 |
| 1568710259 | Zachary Xaiver Love | Technician, Other | Cape Sarichef Rd. Bldg N46, Hswl Rockmore-king Clinic, Kodiak, AK 99619 | 2012-08-28 |
| 1518159672 | Regan Enlow-moir | Dental Hygienist | Building N46, Cape Sarichef Street, Kodiak, AK 99619 | 2007-08-13 |
| 1659416857 | Kristy A Campbell | Technician, Other | Cape Sarichef Rd Bldg N46, Hswl Fo Kodiak, Kodiak, AK 99619 | 2007-02-21 |
| 1689727539 | Elaine A. Jergons | Military Health Care Provider | Building N-46, Kodiak, AK 99619 | 2007-01-22 |
| Find all providers in zip 99619 | ||||
| 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 |
|---|---|---|---|---|
| 1861093304 | Ryan Garcia | Military Health Care Provider | 673d Med Group, Jber, AK 99501 | 2020-11-02 |
| 1447850268 | Ryan Rene Reyes | Military Health Care Provider | 1024 Nordale Rd, North Pole, AK 99705-5154 | 2020-10-30 |
| 1285055129 | Jennifer Trout | Military Health Care Provider | 18226 Pioneer Dr, Eagle River, AK 99577-9331 | 2013-12-19 |
| 1063649234 | John Michael Strothenke | Military Health Care Provider | 2630 Central Avenue Suite 1, 354 Medical Operations Squadron, Clinical Medicine Flt, Eielson Air Force Base, AK 99702 | 2009-06-16 |
| 1225272073 | Landru Derek Medvec | Military Health Care Provider | 2422 Arctic Ave, Apt D, Eielson Afb, AK 99702 | 2009-04-23 |
| 1578189387 | Eric Dylan Mason | Military Health Care Provider | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2020-06-18 |
| 1518586122 | Amanda Nichols | Military Health Care Provider | 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 | 2020-04-14 |
| 1851853048 | Jordan Matthew Cate | Military Health Care Provider | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-04-05 |
| 1457810657 | Mycala B Stedingh | Military Health Care Provider | 673 Mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2019-03-18 |
| 1104393446 | Matthew Gray | Military Health Care Provider | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2018-10-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MINDY ANN TUCKER.
| 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.