ALICIA MICHELLE CHAVEZ (NPI# 1720302557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720302557 |
| Entity Type | Individual |
| Full Name | ALICIA MICHELLE CHAVEZ |
| Credential | IDMT |
| Practice Address |
705 Donegal Dr Papillion NE 68046-2133 |
| Practice Telephone | 4022323371 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2015-05-13 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821445214 | Alicia Chavez | Acupuncturist | 5363 Balboa Blvd Ste 436, Encino, CA 91316-2840 | 2016-05-16 |
| 1225677347 | Alicia Chavez | Behavior Technician | 6770 N West Ave Ste 105, Fresno, CA 93711-1399 | 2020-01-06 |
| 1548720972 | Alicia Chavez | Behavior Technician | 1947 Galileo Ct Ste 101, Davis, CA 95618-4882 | 2019-03-21 |
| 1437382835 | Alicia V Chavez | Pharmacist | 8011 Harper Dr Ne, Albuquerque, NM 87111-1054 | 2009-09-01 |
| Street Address |
705 DONEGAL DR |
| City | PAPILLION |
| State | NE |
| Zip Code | 68046-2133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181525 | Alexis Lexi Morgan Mccoy | Speech-Language Pathologist | 423 S. Washington St, Papillion, NE 68046 | 2020-07-07 |
| 1144860339 | Megan Arlene Drost | Physical Therapist | 10601 S 72nd St. 103, Papillion, NE 68046 | 2020-01-15 |
| 1659930667 | Nil Sine Deo | Home Health | 10791 S 72nd St Ste 104, Papillion, NE 68046 | 2019-06-12 |
| 1902463458 | Capehart Papio, LLC | Clinic/Center | 10955 Cumberland Dr, Papillion, NE 68046 | 2019-05-21 |
| 1144884727 | Dayna Renee Hazlewood | Student in an Organized Health Care Education/Training Program | 120 Olson Drive, Ste 107, Papollion, NE 68046 | 2019-04-29 |
| 1659859734 | Vision Specialists of Papillion LLC | Optometrist | 120 Olson Drive Suite 107, Papillion, NE 68046 | 2018-08-01 |
| 1063999803 | Paige Jean Arlt | Speech-Language Pathologist | 420 S. Washington St., Papillion, NE 68046 | 2018-07-24 |
| 1508380437 | Adrienne Ann Haubold | Speech-Language Pathologist | 500 Valley Road, Papillion, NE 68046 | 2017-08-02 |
| 1316471667 | Dynamic Pain Relief | Pain Medicine | 701 Pinnacle Drive, Suite 105, Papillion, NE 68046 | 2017-04-13 |
| 1124575246 | Amy Allen | Speech-Language Pathologist | 10820 Wittmus Dr, Papillion, NE 68046 | 2016-09-07 |
| Find all providers in zip 68046 | ||||
| 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 |
|---|---|---|---|---|
| 1457697872 | Maria G Wiest | Military Health Care Provider | 12222 S 25th Ave, Bellevue, NE 68123-1865 | 2012-12-13 |
| 1679829220 | Ryan Thomas Rubino | Military Health Care Provider | 12102 Larson Cir, Bellevue, NE 68123-1680 | 2012-08-01 |
| 1295026219 | Keoshia S Coleman | Military Health Care Provider | 6941 Florence Blvd, Omaha, NE 68112-3413 | 2011-04-25 |
| 1245536994 | Aaron Bradley Smith | Military Health Care Provider | Ehrling Bergquist Clinic, 2501 Capehart Rd, Offutt Afb, NE 68113 | 2011-01-28 |
| 1366901738 | Taten Brent Swanson | Military Health Care Provider | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2019-03-15 |
| 1235402165 | Rachel Belden | Military Health Care Provider | 105 Grant Cir Ste 133, Offutt A F B, NE 68113-4041 | 2012-02-23 |
| 1427355866 | Andrea Jefferson | Military Health Care Provider | 2501 Capehart Rd, Offutt A F B, NE 68113-1043 | 2011-02-22 |
| 1255561973 | Karolyn A Harris | Military Health Care Provider | 105 Grant Cir, Ste 133, Offutt A F B, NE 68113-2087 | 2009-07-15 |
| 1790912608 | Brian David Cooprider | Military Health Care Provider | 2501 Capehart Road, Bellevue, NE 68113-2160 | 2009-06-18 |
| 1669608774 | Charles Curtis Ruggles | Military Health Care Provider | 105 Grant Cir, Bldg 527, Suite 133, Offutt A F B, NE 68113-4041 | 2009-06-03 |
| Find all providers with the same taxonomy | ||||
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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.