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MR. JAY RUSSELL WAITE IDC
NPI 1114064789
Military Health Care Provider - Independent Duty Corpsman in Fallon, NV

Active since January 31, 2007
4755 PASTURE RD, FALLON, NV 89496(775) 426-3130(775) 426-3133 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jay Russell Waite Idc NPPES

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

MR. JAY RUSSELL WAITE IDC (NPI 1114064789) is an individual independent duty corpsman provider in Fallon, Nevada and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1114064789
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. JAY RUSSELL WAITECredential: IDC
Location Address4755 PASTURE RDFallon, NV 89496-5000
Mailing Address733 Orchard Dr Apt AFallon, NV 89406-6158 · (775) 426-3130 · Fax (775) 426-3133
Phone(775) 426-3130
Fax(775) 426-3133
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114064789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
4755 PASTURE RD, Fallon, NV 89496
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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.

DAVID G. BENNETT PA-C
Physician Assistant
4755 PASTURE RD, BLDG 299
FALLON, NV 89496
Churchill County (775) 426-2220
AMANDA L GALINDO RPH
Pharmacist
4755 PASTURE RD
FALLON, NV 89496
Churchill County (775) 426-3122
BROOKE RIORDAN FNP-C
Nurse Practitioner (Family)
4755 PASTURE RD
FALLON, NV 89496
Churchill County (754) 263-1257
U.S. NAVY
Clinic/Center (Mental Health (Including Community Mental Health Center))
4755 PASTURE RD
FALLON, NV 89496
Churchill County (775) 426-3126
MRS. EMILY MARTIN RN
Registered Nurse
4755 PASTURE RD
FALLON, NV 89496
Churchill County (775) 426-3100

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 Jay Waite's NPI number?

The NPI number for Jay Waite is 1114064789. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Jay Waite located?

Jay Waite practices at 4755 Pasture Rd, Fallon, NV 89496. The listed phone number is (775) 426-3130.

What is Jay Waite's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Jay Waite was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.