SOFIA FITZGERALD IDMT
NPI 1013744697
Military Health Care Provider - Independent Duty Medical Technicians in Dyess Afb, TX

Active since September 17, 2024
697 LOUISIANA RD, DYESS AFB, TX 79607(229) 848-5222 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2025, Sep 17, 2024 (2 updates tracked since 2024).

About Sofia Fitzgerald Idmt NPPES

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

SOFIA FITZGERALD IDMT (NPI 1013744697) is an individual independent duty medical technicians provider in Dyess Afb, Texas and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1013744697
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameSOFIA FITZGERALDCredential: IDMT
Location Address697 LOUISIANA RDDyess Afb, TX 79607-1141
Mailing Address697 Louisiana RdDyess Afb, TX 79607-1141 · (229) 848-5222
Sole ProprietorNo
Enumeration DateSeptember 17, 2024
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
NPI 1013744697 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.

697 LOUISIANA RD, Dyess Afb, TX 79607

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
697 LOUISIANA RD
DYESS AFB, TX 79607
Preventive Medicine (Aerospace Medicine)
697 LOUISIANA RD, 7TH MDG
DYESS AFB, TX 79607
Social Worker (Clinical)
697 LOUISIANA RD
ABILENE, TX 79607
Nurse Practitioner (Family)
697 LOUISIANA RD
DYESS AFB, TX 79607
Family Medicine (Sports Medicine)
697 LOUISIANA RD
DYESS AFB, TX 79607
Pharmacist (Pharmacotherapy)
697 LOUISIANA RD, 7 MDSS/SGSD DYESS AFB
ABILENE, TX 79607
Physician Assistant
697 LOUISIANA RD
DYESS AFB, TX 79607
Physical Therapist (Orthopedic)
697 LOUISIANA RD
DYESS AFB, TX 79607

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 Sofia Fitzgerald's NPI number?

The NPI number for Sofia Fitzgerald is 1013744697. It was assigned to this individual provider in the NPPES registry on September 17, 2024.

Where is Sofia Fitzgerald located?

Sofia Fitzgerald practices at 697 Louisiana Rd, Dyess Afb, TX 79607. The listed phone number is (229) 848-5222.

What is Sofia Fitzgerald'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 Sofia Fitzgerald was last updated on June 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.