MR. JASON ANTHONY EVANS IDMT
NPI 1033452206
Military Health Care Provider - Independent Duty Medical Technicians in Cannon Afb, NM

Active since April 05, 2013
224 W D. L. INGRAM AVENUE, BLDG. 1408, CANNON AFB, NM 88101(310) 686-2656 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jason Anthony Evans Idmt NPPES

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

MR. JASON ANTHONY EVANS IDMT (NPI 1033452206) is an individual independent duty medical technicians provider in Cannon Afb, New Mexico and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1033452206
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. JASON ANTHONY EVANSCredential: IDMT
Location Address224 W D. L. INGRAM AVENUE, BLDG. 1408Cannon Afb, NM 88101
Mailing Address8808 Clovis Ct Apt AClovis, NM 88101-8593 · (310) 686-2656
Sole ProprietorNo
Enumeration DateApril 5, 2013
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 20, 2024
NPI 1033452206 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.
224 W D. L. INGRAM AVENUE, Cannon Afb, NM 88101

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 Jason Evans's NPI number?

The NPI number for Jason Evans is 1033452206. It was assigned to this individual provider in the NPPES registry on April 5, 2013.

Where is Jason Evans located?

Jason Evans practices at 224 W D. L. Ingram Avenue Bldg. 1408, Cannon Afb, NM 88101. The listed phone number is (310) 686-2656.

What is Jason Evans'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 Jason Evans was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.