LYNOR DICANG HARDY (NPI# 1255754214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255754214 |
| Entity Type | Individual |
| Full Name | LYNOR DICANG HARDY |
| Credential | IDMT |
| Practice Address |
Cheyenne Mountain Air Station Colorado Springs CO 80922 |
| Mailing Address |
3665 Powell Pt Apt 206 Colorado Springs CO 80922-2860 |
| Practice Telephone | 8502403552 |
| Mailing Telephone | 8502403552 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-04-04 |
| 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 |
CHEYENNE MOUNTAIN AIR STATION |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662709 | Emergency Medical Specialists, PC | Emergency Medicine | Powers Fsed - Md, 2770 N. Powers Blvd, Colorado Springs, CO 80922 | 2020-09-03 |
| 1578177895 | Emergency Medical Specialists, PC | Emergency Medicine | Powers Fsed - App, 2770 N. Powers Blvd, Colorado Springs, CO 80922 | 2020-09-03 |
| 1528566965 | Caitlin Corbeit Kroetsch | Massage Therapist | 5349 Ferraro Drive, Colorado Springs, CO 80922 | 2018-01-31 |
| 1154861169 | Miriam Freire | Dental Hygienist | 3759 Swainson Dr., Colorado Springs, CO 80922 | 2017-02-24 |
| 1528507712 | Brandon Hutchinson | Social Worker | 6972 Hillock Fr, Colorado Springs, CO 80922 | 2017-02-21 |
| 1841648052 | Delene Suzuki Babauta | Dental Assistant | 7279 Withers Pl, Colorado Springs, CO 80922 | 2016-05-27 |
| 1225442601 | Betsy Titus | Physical Therapy Assistant | 6355 Silverado Trl, Colorado Springs, CO 80922 | 2014-06-13 |
| 1861774184 | North Powers Modern Dentistry, LLP | Dentist | 5430 Tutt Boulevard, Colorado Springs, CO 80922 | 2011-09-13 |
| 1255589297 | Kendra D Robison | Internal Medicine | 6340 E Barnes Road, Colorado Springs Health Partners Internal Medicine, Colorado Springs, CO 80922 | 2008-09-03 |
| 1912182726 | Costco Wholesale Corporation | Pharmacy | 5885 Barnes Rd, Colorado Springs, CO 80922 | 2007-12-31 |
| Find all providers in zip 80922 | ||||
| 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 |
|---|---|---|---|---|
| 1912243239 | Lerinda Kay Carle | Military Health Care Provider | 6676 Myrtle Creek Dr, Colorado Springs, CO 80927-4034 | 2012-12-13 |
| 1851675011 | Susanne Clariece Fry | Military Health Care Provider | 2540 Brady Dr, Colorado Springs, CO 80917-4021 | 2011-10-06 |
| 1588996243 | Luke William Willis | Military Health Care Provider | 1965 Shawnee Dr, Colorado Springs, CO 80915-1920 | 2010-02-05 |
| 1932342094 | Daniel Luther Green IIi | Military Health Care Provider | 1 Norad Rd, Colorado Springs, CO 80914-6001 | 2009-04-19 |
| 1316587116 | Cori Lea Andrews | Military Health Care Provider | 559 Vincent St Bldg 959, Colorado Springs, CO 80914-1541 | 2020-01-09 |
| 1700013380 | Curtis E Clawson | Military Health Care Provider | 1 Norad Rd, Suite 1205, Colorado Springs, CO 80906 | 2009-06-22 |
| 1740417641 | David Andrew Holman | Military Health Care Provider | 559 Vincent St, Colorado Springs, CO 80914-1541 | 2009-06-18 |
| 1386879633 | Edward L Nelson Jr. | Military Health Care Provider | 559 Vincent St, Colorado Springs, CO 80914-1541 | 2009-05-15 |
| 1831333996 | Mandy Grimm | Military Health Care Provider | 559 Vincent St, Colorado Springs, CO 80914-1541 | 2009-04-20 |
| 1386887792 | Jovonne D Parnell | Military Health Care Provider | 559 Vincent St, Colorado Springs, CO 80914-1541 | 2009-04-15 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80922 |
Please comment or provide details below to improve the information on LYNOR DICANG HARDY.
| 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.