MRS. TINA MARIE HARRIS (NPI# 1992932396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992932396 |
| Entity Type | Individual |
| Full Name | MRS. TINA MARIE HARRIS |
| Credential | IDMT |
| Practice Address |
5608 Greentree Ave Wichita Falls TX 76306-1145 |
| Mailing Address |
939 Missile Rd Ste 1062 Sheppard Afb TX 76311-2263 |
| Practice Telephone | 9402285200 |
| Mailing Telephone | 9406763816 |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |
| 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 |
|---|---|---|---|---|
| 1528619137 | Tina Marie Harris | Counselor | 10432 Balls Ford Rd Ste 373, Manassas, VA 20109-2514 | 2019-09-25 |
| 1851780704 | Tina Harris | Counselor | 409 Nw 11th St, Apt. 6, Oklahoma City, OK 73103-3915 | 2015-01-15 |
| 1497062871 | Tina Ricks Harris | Nursing Home Administrator | 507 First Street, Spring Hope, NC 27882-1360 | 2010-09-08 |
| 1528282175 | Tina Michelle Harris | Counselor | 9500 Front St S Ste 100, Lakewood, WA 98499-9415 | 2007-04-13 |
| 1023049699 | Tina Griffin Harris | Internal Medicine | 3521 Haworth Drive, Raleigh, NC 27609-7216 | 2006-07-05 |
| 1851332316 | Tina M Harris | Specialist | 270 N Franklin Ave, Colby, KS 67701-2322 | 2006-06-08 |
| 1093191298 | Tina L Harris | Nurse Practitioner | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2015-08-11 |
| 1902210990 | Tina Marie Harris | Pharmacist | 150 Concord Commons Pl Sw, Concord, NC 28027-5026 | 2014-06-17 |
| 1841491073 | Tina Harris | Occupational Therapy Assistant | 300 Seville Rd, Hurricane, WV 25526-9206 | 2007-05-28 |
| 1487875621 | Tina Nichole Harris | Speech-Language Pathologist | 1025 Brevard Rd, Asheville, NC 28806-8562 | 2007-05-02 |
| Street Address |
5608 GREENTREE AVE |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76306-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881175214 | Kayla Christina Lynn Widener | Occupational Therapy Assistant | 300 Tx -11 Loop, Wichita Falls, TX 76306 | 2018-08-23 |
| 1043767221 | Value Smiles Pllc | Dentist | 2710 Central Freeway, Ste 140, Wichita Falls, TX 76306 | 2016-09-06 |
| 1033511514 | Katryna Ehlinger | Military Health Care Provider | 7656 Chablis Circle, Wichita Falls, TX 76306 | 2014-09-16 |
| 1770701518 | Gary Lee Schultz Jr. | Pharmacist | 2522 Iowa Park Road, Wichita Falls, TX 76306 | 2007-04-24 |
| 1558409482 | United Supermarkets, L.L.C. | Pharmacy | 2522 Iowa Park Rd, Wichita Falls, TX 76306 | 2007-02-02 |
| 1679787428 | Cynthia Diane Smith | Pharmacist | 2522 Iowa Park Rd, Wichita Falls, TX 76306 | 2007-05-10 |
| 1487042453 | Jill Oldham | Behavioral Analyst | 2307 Hunters Gln, Wichita Falls, TX 76306-1148 | 2014-12-29 |
| 1275916306 | Venus Efebo | Counselor | 2511 Missile Rd, Wichita Falls, TX 76306-1321 | 2015-07-07 |
| 1932390192 | Jane Cook | Licensed Vocational Nurse | 4104 Lenore Dr, Wichita Falls, TX 76306-1807 | 2007-08-05 |
| 1699314963 | Heather Carlisle | Technician | 4115 Thelma Dr, Wichita Falls, TX 76306-1811 | 2020-01-03 |
| Find all providers in zip 76306 | ||||
| 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 |
|---|---|---|---|---|
| 1033511514 | Katryna Ehlinger | Military Health Care Provider | 7656 Chablis Circle, Wichita Falls, TX 76306 | 2014-09-16 |
| 1972734580 | Michael Stephenson-pino | Military Health Care Provider | 3042 Cromwell Ave, Wichita Falls, TX 76309-4710 | 2009-07-30 |
| 1124255583 | Danny Lee Dennis Jr. | Military Health Care Provider | 939 Missile Road Bld 1900, Wichita Falls, TX 76311 | 2009-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453145 | Ian Frogley | Military Health Care Provider | Jbsa 2230 Hughes Ave, San Antonio, TX 78236-8404 | 2020-10-06 |
| 1861099939 | Andrew Goebel | Military Health Care Provider | 1800 Truemper St, San Antonio, TX 78236-5510 | 2020-10-02 |
| 1790382844 | Kyle Schachsieck | Military Health Care Provider | 2800 Winfield Scott Rd Ste 347, Fort Sam Houston, TX 78234-7662 | 2020-10-01 |
| 1861018178 | John C Gallik | Military Health Care Provider | 3176 Corporal Johnson Road, Jbsa Fort Sam Houston, TX 33809 | 2020-06-23 |
| 1376169086 | Colton Wayne Dickens | Military Health Care Provider | 5415 N Foster Rd Apt 8306, San Antonio, TX 78244-2405 | 2020-06-18 |
| 1750924692 | Michelle Lynn Hernando | Military Health Care Provider | 109 Kentucky St, Dyess Afb, TX 79607-1007 | 2019-10-23 |
| 1598315061 | Matthew Scott Floores | Military Health Care Provider | 7303 S Ute Trl, Austin, TX 78729-7756 | 2019-09-17 |
| 1427529650 | Riley Pearl Solomon | Military Health Care Provider | 6419 N Vandiver Rd Apt 2203, Alamo Heights, TX 78209-4484 | 2018-12-16 |
| 1588135719 | Alejandro Daniel Perez | Military Health Care Provider | Wilderness Trl & Camp Bullis, San Antonio, TX 78257 | 2018-12-16 |
| 1861969271 | Jose A Sanchez | Military Health Care Provider | 15425 Bobwhite Quail, San Antonio, TX 78253-6621 | 2018-10-24 |
| Find all providers with the same taxonomy | ||||
| City | WICHITA FALLS |
| Zip Code | 76306 |
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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.