JESSICA ANN EWERS (NPI# 1518483320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518483320 |
| Entity Type | Individual |
| Full Name | JESSICA ANN EWERS |
| Credential | IDMT |
| Practice Address |
8701 W Gilmore Ave Las Vegas NV 89129-7687 |
| Practice Telephone | 7029089046 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
8701 W GILMORE AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89129-7687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387621 | Voice Specialist LLC | Speech-Language Pathologist | 3701 Paul Deweert Ct, Las Vegas, NV 89129 | 2020-08-20 |
| 1215563358 | Aba Homecare LLC | In Home Supportive Care | 4456 N Prospect Hill Ct, Las Vegas, NV 89129 | 2020-03-20 |
| 1568935534 | Las Vegas Family Medicine Inc. | Family Medicine | 7660 W. Cheyenne Ave Suite 110, Las Vegas, NV 89129 | 2019-01-02 |
| 1477040798 | Cynthia Beverly Springer | Technician | 8670 West Cheyenne Suite 135, Las Vegas, NV 89129 | 2018-04-23 |
| 1518471093 | 3 Pharmacy LLC | Pharmacy | 3350 Novat St Ste 110, Las Vegas, NV 89129 | 2017-11-20 |
| 1497207393 | Morgan A Lavergne | Behavioral Analyst | 7650 Siesta Grande Ave., Las Vegas, NV 89129 | 2016-10-27 |
| 1255880191 | Sierra Treatment and Recovery Services, LLC | Clinic/Center | 3321 N. Buffalo Dr., Suite #125, Las Vegas, NV 89129 | 2016-10-03 |
| 1710433545 | Tyson Miller | Dentist | 3600 N Buffalo Dr., #110, Las Vegas, NV 89129 | 2016-08-31 |
| 1427450923 | Jerale Tiffith | Behavioral Analyst | 3800 Dalecrest Dr., 2801, Las Vegas, NV 89129 | 2014-09-16 |
| 1134463821 | Paul Carr | Behavioral Analyst | 4460 Park Ave, Las Vegas, NV 89129 | 2012-11-19 |
| Find all providers in zip 89129 | ||||
| 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 |
|---|---|---|---|---|
| 1033607478 | Steven Correa | Military Health Care Provider | 4700 Las Vegas Blvd N # 1300, Las Vegas, NV 89191-6600 | 2018-05-01 |
| 1306175096 | Ta'wana L Jones | Military Health Care Provider | 1900 Las Vegas Blvd, Las Vegas, NV 89110 | 2009-12-09 |
| 1225263072 | Adrienne L Clark | Military Health Care Provider | 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 | 2009-05-22 |
| 1346483500 | Brandy R Williams | Military Health Care Provider | 9303 Gilcrease Ave, Unit 1207, Las Vegas, NV 89149-0199 | 2009-04-16 |
| 1528604758 | Nicholas Brown Dyches | Military Health Care Provider | 4700 Las Vegas Blvd N Bldg 1300, Las Vegas, NV 89191-6600 | 2019-11-22 |
| 1235637000 | Jeffrey Allen Villalpando | Military Health Care Provider | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2018-01-26 |
| 1598190878 | Jonathan Christian Gomez | Military Health Care Provider | 4311 Carswell Ave, Bldg 340, Las Vegas, NV 89191-7069 | 2013-09-05 |
| 1043554462 | Ryan Mosiah King | Military Health Care Provider | 4700 Las Vegas Blvd N, Las Vegas, NV 89191-6600 | 2012-11-26 |
| 1588914295 | Jill S Dowd | Military Health Care Provider | 4700 North Las Vegas Blvd, Las Vegas, NV 89115 | 2012-09-11 |
| 1518197078 | Tanya Lane Hatfield | Military Health Care Provider | 811 Grier Dr, Suite B, Las Vegas, NV 89119-3704 | 2009-07-19 |
| Find all providers in LAS VEGAS | ||||
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| 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.