MRS. JERRICA MARIE WILD
NPI 1003109844
Military Health Care Provider - Independent Duty Medical Technicians in Beale Afb, CA

Active since May 26, 2011
15301 WARREN SHINGLE ROAD, BEALE AFB, CA 95903(530) 634-4738 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jerrica Marie Wild NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JERRICA MARIE WILD (NPI 1003109844) is an individual independent duty medical technicians provider in Beale Afb, California and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1003109844
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameMRS. JERRICA MARIE WILD
Location Address15301 WARREN SHINGLE ROADBeale Afb, CA 95903
Mailing Address15301 Warren Shingle RdBeale Afb, CA 95903-1907 · (530) 634-4738
Sole ProprietorNo
Enumeration DateMay 26, 2011
Last NPPES UpdateNovember 22, 2011
NPI 1003109844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
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.
15301 WARREN SHINGLE ROAD, Beale Afb, CA 95903

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
15301 WARREN SHINGLE ROAD
BEALE AFB, CA 95903
Counselor (Mental Health)
15301 WARREN SHINGLE ROAD, 9 MDOS SGOHF
BEALE AFB, CA 95903
Social Worker (Clinical)
15301 WARREN SHINGLE ROAD
BEALE AFB, CA 95903
Psychiatry & Neurology (Psychiatry)
15301 WARREN SHINGLE ROAD
BEALE AFB, CA 95903
Dietitian, Registered
15301 WARREN SHINGLE ROAD
BEALE, CA 95903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrica Wild's NPI number?

The NPI number for Jerrica Wild is 1003109844. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Where is Jerrica Wild located?

Jerrica Wild practices at 15301 Warren Shingle Road, Beale Afb, CA 95903. The listed phone number is (530) 634-4738.

What is Jerrica Wild's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Jerrica Wild was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.