SHANNON RENEE TEDFORD (NPI# 1427479815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427479815 |
| Entity Type | Individual |
| Full Name | SHANNON RENEE TEDFORD |
| Credential | IDMT |
| Practice Address |
156 Cross Point Dr Owings MD 20736-3322 |
| Practice Telephone | 7312678201 |
| Mailing Telephone | 7312678201 |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |
| 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 |
156 CROSS POINT DR |
| City | OWINGS |
| State | MD |
| Zip Code | 20736-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497389829 | Christine Harding | Health Educator | Calvert Library - Fairview Branch, 8120 Southern Md Blvd, Owings, MD 20736 | 2020-02-25 |
| 1568996635 | Olivia Reilly | Specialist/Technologist | 9259 Blue Sky Ct, Owings, MD 20736 | 2017-04-17 |
| 1336351527 | Marion Burkhalter and Associates, Inc. | Social Worker | 655 Sycamore Lane, Owings, MD 20736 | 2007-05-03 |
| 1831216233 | Bernard Rodriquez Finch | Dentist | 11 Chesapeake Beach Rd, Owings, MD 20736 | 2007-03-23 |
| 1164425658 | Leo F. Mallard | Pharmacist | 15 Chesapeake Beach Rd, East, Owings, MD 20736 | 2005-05-27 |
| 1891868741 | Jeannette M Reinecker | Social Worker | 2021 Chaneyville Rd, Owings, MD 20736 | 2006-11-16 |
| 1003091877 | Gerald P Sterner Md & Associates Chartered | Family Medicine | 19 Chesapeake Beach Road East, Owings, MD 20736-0929 | 2007-12-29 |
| 1790901619 | Joshua Adam Thomas | Physical Medicine & Rehabilitation | 1919 Skinners Turn Rd, Owings, MD 20736-3041 | 2007-04-18 |
| 1053883231 | Comprehensive Pain and Spine Services, LLC | Physical Medicine & Rehabilitation | 1919 Skinners Turn Rd, Owings, MD 20736-3041 | 2018-12-28 |
| 1336687557 | Rebecca Moffatt | Speech-Language Pathologist | 7812 Lake Shore Dr, Owings, MD 20736-3141 | 2017-02-08 |
| Find all providers in zip 20736 | ||||
| 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 |
|---|---|---|---|---|
| 1902406713 | Chelsey Lynch-cay | Military Health Care Provider | 4548 Longfellow St, Hyattsville, MD 20781-1927 | 2020-10-30 |
| 1346840162 | Quartez Ricahrdson | Military Health Care Provider | 250 American Way Apt 535, Oxon Hill, MD 20745-4536 | 2020-10-30 |
| 1790126225 | Richard A Reid | Military Health Care Provider | 16015 Good Meadow Ct, N Potomac, MD 20878 | 2013-07-12 |
| 1295016806 | Aundrea F Dyson | Military Health Care Provider | 7 Sultan Ave., Capital Heights, MD 20743 | 2011-09-09 |
| 1639450091 | Melissa Garcia | Military Health Care Provider | 812 Bunch Ave, Glen Burnie, MD 21060-6955 | 2011-08-30 |
| 1235422205 | Jason Randall Brown | Military Health Care Provider | 612 Admiral Dr Apt 404, Annapolis, MD 21401 | 2011-05-24 |
| 1982915187 | Stacy Coleman | Military Health Care Provider | 1002 Sherman Ct, Waldorf, MD 20602-2923 | 2010-06-23 |
| 1376787903 | Johnathan A Paxton | Military Health Care Provider | West Perimeter Rd Bldg 1050, Malcolm Grow Medical Center, Andrews Afb, MD 20762 | 2009-04-27 |
| 1083214894 | Richard Allen Ypina Jr. | Military Health Care Provider | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2020-10-30 |
| 1417554577 | Meaghan Mccarthy | Military Health Care Provider | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHANNON RENEE TEDFORD.
| 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.