NICHOLAS CHARLES KERN


Address: 30 Nightingale Rd, Edwards Afb, CA 93524-0001
Phone: 6612777118

NICHOLAS CHARLES KERN (NPI# 1992150569) 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) 1992150569
Entity Type Individual
Full Name NICHOLAS CHARLES KERN
Credential IDMT
Practice Address 30 Nightingale Rd
Edwards Afb
CA 93524-0001
Practice Telephone 6612777118
Enumeration Date 2016-05-02
Last Update Date 2016-05-02
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 30 NIGHTINGALE RD
City EDWARDS AFB
State CA
Zip Code 93524-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306827050 Matthew Richard Keysor Pediatrics 30 Nightingale Rd, Attn: 412 Mdg/sgh, Edwards Afb, CA 93524-1730 2005-11-09
1356791495 Aaron Patzwahl Family Medicine 30 Nightingale Rd, Edwards Afb, CA 93524-1809 2016-06-20
1073980181 Anne H Kim Specialist 30 Nightingale Rd, Bldg 5521, Edwards Afb, CA 93524-0001 2015-08-24
1548673163 95th Medical Group Sgsr Military/U.S. Coast Guard Pharmacy 30 Nightingale Rd, Bldg 5525, Edwards Afb, CA 93524-1730 2014-06-11
1538585872 Josephine Nguyen Dentist 30 Nightingale Rd, Edwards Afb, CA 93524-1730 2014-03-11
1184062101 Piotr Wojciech Podlesny Family Medicine 30 Nightingale Rd, 412mdos/sgop Family Health Clinic, Edwards Afb, CA 93524-0001 2013-06-12
1437493806 Scott Anthony Baker Pharmacist 30 Nightingale Rd, Edwards Afb, CA 93524-0001 2012-11-25
1780958645 Shunrie Geldore Physician Assistant 30 Nightingale Rd, Edwards Afb, CA 93524-0001 2012-02-23
1790018299 Christopher John Raimondi Dentist 30 Nightingale Rd, Edwards Afb, CA 93524-0001 2009-09-15
1710186135 Richard Y. Baird Optometrist 30 Nightingale Rd, Building 5525, Edwards Afb, CA 93524-0001 2007-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114540499 Nathaniel George Brown Student in an Organized Health Care Education/Training Program 412th Medical Group 30 Nightingale Rd., Building #5525, Edwards Air Force Base, CA 93524 2020-05-21
1265852396 Wesley John Fischer Pharmacist 30 Nightengale Road, Edwards U.S. Air Force Base Pharmacy, Edwards, CA 93524 2014-04-16
1659567493 Kevin Ray Hooker Social Worker 30 Nightingale Road, 5513, Lancaster, CA 93524 2007-09-14
1336655943 Keith Janda Physician Assistant 95th Medical Group 30 Nightingale Road Building 5525, Edwards Afb, CA 93524-0001 2017-12-19
1598286049 Mackenzie Johnson Clevenger Pharmacist 412 Mdg 30 Nightingale Rd, Edwards Afb, CA 93524-0001 2017-07-05
1245751460 Brandon John Potters Military Health Care Provider Air Test and Evaluation Squadron Nine Rd 187 Rd, Edwards Afb, CA 93524-0001 2017-06-28
1003266073 Meshva Akwalia Pediatrics 412 Medical Group 30 Nightingale Rd Bldg 5525, Edwards Afb, CA 93524-0001 2016-06-20
1144613670 Pang Ko Dentist 30 Nightingale Ave Building 5513, Edwards, CA 93524-0001 2015-03-09
1710293345 Tonya Nicole Barry Dentist Bldg 3925, 31 Nightingale Rd, Edwards Afb, CA 93524-0001 2010-08-20
1265761340 Shanda R. Marshall Nurse Practitioner 412 Th Medical Grouup, 30 Nightingale Road, Edwards, CA 93524-0001 2009-12-18
Find all providers in zip 93524

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
1639300197 Moises Velasco Military Health Care Provider 412 Th Medical Group, 30 Nightingale Rd., Edwards Afb, CA 93524-0001 2009-07-31
1144454802 William Robert Cole Military Health Care Provider 412 Mdg Edwards Afb Ca, Edwards Afb, CA 93524-0001 2009-05-11
1346869096 Seth Heying Military Health Care Provider 55 N Wolfe Ave, Edwards Afb, CA 93524-6201 2020-04-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366051294 Ryan Allan Arriaga Military Health Care Provider 1000 Allison Dr, Vacaville, CA 95687-4975 2020-07-27
1851917165 Katelyn Renee Watson Military Health Care Provider 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 2020-06-23
1558911024 Christopher Andersen Military Health Care Provider 1000 Allison Dr Apt 183, Vacaville, CA 95687-4988 2019-09-17
1558873968 Giovanni Oddo Military Health Care Provider 25051 Mawson Dr, Laguna Hills, CA 92653-5263 2017-10-26
1730606658 Jeffrey Rodriguez Military Health Care Provider 975 Carl Cir, Edwards, CA 93523-1906 2017-08-23
1154847960 James Edward Schafer Military Health Care Provider 883 Covey Ct, Hollister, CA 95023-8906 2017-08-15
1437551702 Jonathan Saplan Military Health Care Provider 1411 Pelican Way, Suisun City, CA 94585-2330 2014-09-18
1093124398 Benjamin Ryan Foy Military Health Care Provider 2784 Hornet Way, San Diego, CA 92106-6421 2014-08-12
1598182214 Matthew Wheaton Burns Military Health Care Provider 105 Colorado St, Travis Afb, CA 94535-1255 2014-03-19
1508282658 April Summers Military Health Care Provider 2205 Farrell Ave Apt 204, Redondo Beach, CA 90278-1846 2014-03-13
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Competitor

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City EDWARDS AFB
Zip Code 93524

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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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