JESSE EDUARDO BELTRAN


Address: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
Phone: 7026533105

JESSE EDUARDO BELTRAN (NPI# 1851931869) 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) 1851931869
Entity Type Individual
Full Name JESSE EDUARDO BELTRAN
Practice Address 4700 Las Vegas Blvd N
Nellis Afb
NV 89191-6600
Mailing Address Po Box 6024
Navarre
FL 32566-1624
Practice Telephone 7026533105
Mailing Telephone 8505333769
Enumeration Date 2020-01-08
Last Update Date 2020-01-08
Gender Code M
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 4700 LAS VEGAS BLVD N
City NELLIS AFB
State NV
Zip Code 89191-6600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366445389 Frank J Andriola Internal Medicine 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2005-05-23
1245837392 Cameron Springer Military Health Care Provider 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-10-01
1063026474 Haley Suzanne Emery Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-09-02
1033729991 Brock Shaw Dentist 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-08-05
1801404397 Madelyn Danielle Golden Military Health Care Provider 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-07-21
1114544103 Jami Myong Reece Family Medicine 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-06-25
1225654296 Leah Corr Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-06-24
1821614405 Aubrey Amanda Blanchette Student in an Organized Health Care Education/Training Program 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-06-19
1346866290 Shelbi Diane Duncan Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-06-17
1235751538 Howard Luong Physician Assistant 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225662687 Ashley Raye Roth-garcia Student in an Organized Health Care Education/Training Program 99th Medical Group 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 2020-02-25
1427553734 Christopher Robert Weisgarber Student in an Organized Health Care Education/Training Program Mike O'callaghan Military Medical Center, 4700 Las Vegas Blvd North Bldg 1300, Las Vegas, NV 89191 2018-03-28
1912345448 Austin Joseph Ladner Dentist 99th Air Base Wing Public Affairs, Fpo, AA 89191 2013-06-06
1528329018 Mayer M Jeppson Psychologist 4700 Las Vegas Blvd. N, Nellis Afb, NV 89191 2012-05-31
1255560462 Jordan Lawrence Military Health Care Provider 1579 Malmstrom Avenue, Nellis Afb, NV 89191 2009-07-09
1225263072 Adrienne L Clark Military Health Care Provider 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 2009-05-22
1568634335 Eleanor C Basilio Registered Nurse 4700 Las Vegas Blvd., Nellis Afb, NV 89191 2008-04-01
1316137037 Sarah Rachel Glick Pediatrics 4700 N. Las Vegas Blvd., Mike O'callaghan Federal Medical Center, 99 Mdos/sgoc, Nellis Afb, NV 89191 2007-07-30
1619181302 Ben Carter Robinson Orthopaedic Surgery 4700 N. Las Vegas Blvd, Nellis Afb-mofh Nellis Orthopedics, Las Vegas, NV 89191 2007-05-10
1609992205 Conrad Lochner IIi, Odpc Optometrist 5691 Rickenbacker Road, Bldg. 431, Las Vegas, NV 89191 2007-03-22
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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 city

NPI Name Taxonomy Address Enumeration
1255560462 Jordan Lawrence Military Health Care Provider 1579 Malmstrom Avenue, Nellis Afb, NV 89191 2009-07-09
1497983332 Christopher Lee Clark Military Health Care Provider 5179 Malmstrom Ave, Nellis Afb, NV 89191-6126 2009-06-30
1245837392 Cameron Springer Military Health Care Provider 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-10-01
1801404397 Madelyn Danielle Golden Military Health Care Provider 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2020-07-21
1417480054 Daniel Potter Military Health Care Provider 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2017-04-11
1780037036 Codie James White Military Health Care Provider 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2016-07-21
1639503444 Hugo Silva Military Health Care Provider 4311 Carswell Ave, Bldg 340, Nellis Afb, NV 89191-7069 2013-08-28
1306104021 Kayleigh Madison Mcaviney Military Health Care Provider 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2012-05-01
1215295936 Paula Lynn Moungsiharat Military Health Care Provider 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2012-05-01
1093041774 Nicole B Ernst Military Health Care Provider 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2009-10-30
Find all providers in NELLIS AFB

Competitor

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City NELLIS AFB
Zip Code 89191

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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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