JOZLINN RAE


Address: 3710 N Garry Rd, Otis Orchards, WA 99027-9397
Phone: 2062471764

JOZLINN RAE (NPI# 1598232902) 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) 1598232902
Entity Type Individual
Full Name JOZLINN RAE
Credential IDMT
Practice Address 3710 N Garry Rd
Otis Orchards
WA 99027-9397
Practice Telephone 2062471764
Mailing Telephone 2062471764
Enumeration Date 2018-10-24
Last Update Date 2018-10-24
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 3710 N GARRY RD
City OTIS ORCHARDS
State WA
Zip Code 99027-9397

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NPI Name Taxonomy Address Enumeration
1770647984 Pamela Ann Mercer Naturopath 4304 N. Murray, Otis Orchard, WA 99027 2006-12-21
1154928380 Ashley Nicole Ceresa Counselor 5108 N Del Rey Dr, Otis Orchards, WA 99027-5105 2020-10-01
1013253426 Michelle Lee Ellis Occupational Therapy Assistant 5821 N Hermosa Cir, Otis Orchards, WA 99027-8278 2012-12-13
1992046288 Carla Mae Carnegie Music Therapist 5005 N Harvard Rd, Otis Orchards, WA 99027-9209 2013-03-12
1861731945 Lori Sue Burke Speech-Language Pathologist 22000 E Wellesley Ave, Otis Orchards, WA 99027-9235 2013-02-08
1679725089 Kerri C Miller Mechanotherapist 5700 N Drury Rd, Otis Orchards, WA 99027-9392 2008-10-16
1851666184 Terri Lynn Young Midwife 18707 E Jackson Dr, Spokane Valley, WA 99027-9524 2012-03-20
1447672902 Peter Bergenske Optometrist 19710 E Buckeye Ave, Otis Orchards, WA 99027-9533 2014-01-16
1023590833 Hillary Jean Shultz Registered Nurse 18818 E Marlin Dr, Spokane Valley, WA 99027-9560 2018-08-29
1013378504 Maryln A Clary Behavioral Analyst 5119 N Karen Rd, Otis Orchards, WA 99027-9687 2016-03-11
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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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790236503 Mark Friskel Military Health Care Provider 5759a Fort Wright Oval, Fairchild Afb, WA 99011-2203 2016-10-17
1356682702 Stacie Michelle Hoeger Military Health Care Provider 7505 N Wall St, Spokane, WA 99208-6104 2013-03-11
1013200757 Leesa M Smith Military Health Care Provider 10447b Longmire Rd, Fort Lewis, WA 98433 2011-05-26
1730317728 Nicholas James Graham Military Health Care Provider 2504 S.chicago St, Fairchild Afb, WA 99011 2009-06-29
1922232099 Pocco S Bussey Military Health Care Provider 92 Medical Group, Flight Medicine Clinic, Fairchild, WA 99011 2009-05-05
1699919696 Jason Stone Weiss Military Health Care Provider 3222 E 35th Ave, Spokane, WA 99223-4125 2009-04-22
1083783336 Ronald Merel Husman Military Health Care Provider Uss Ford Ffg 54, Attn Medical Department, Fpo Ap, WA 96665-1508 2006-11-08
1053370254 Erica Clarkson Military Health Care Provider Madigan Physical Therapy, Tacoma, WA 98431-0001 2006-03-17
1982175113 Miguel Antonio Rodriguez Jr. Military Health Care Provider 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 2018-12-16
1730691148 Bryce Ferland Military Health Care Provider 701 Hospital Loop, Fairchild Afb, WA 99011-8704 2017-10-26
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Competitor

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City OTIS ORCHARDS
Zip Code 99027

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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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