STEPHANIE DENISE SULEWSKI NCMA
NPI 1114221439
Military Health Care Provider - Independent Duty Medical Technicians in Kings Bay, GA

Active since December 29, 2010
1063 USS TENNESSEE AVE, AVENUE QL 11, KINGS BAY, GA 31547(210) 651-0027 Get Directions Write a Review

NPPES record last updated: December 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Denise Sulewski Ncma NPPES

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

STEPHANIE DENISE SULEWSKI NCMA (NPI 1114221439) is an individual independent duty medical technicians provider in Kings Bay, Georgia, licensed in Texas (616377) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1114221439
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameSTEPHANIE DENISE SULEWSKICredential: NCMA
Location Address1063 USS TENNESSEE AVE, AVENUE QL 11Kings Bay, GA 31547-2606
Mailing Address1025 Mad Fox DrJacksonville, FL 32212-1124 · (843) 441-7408
Sole ProprietorYes
Enumeration DateDecember 29, 2010
NPI 1114221439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
License Licensed in TX · 616377
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.
1063 USS TENNESSEE AVE, Kings Bay, GA 31547

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 Stephanie Sulewski's NPI number?

The NPI number for Stephanie Sulewski is 1114221439. It was assigned to this individual provider in the NPPES registry on December 29, 2010.

Where is Stephanie Sulewski located?

Stephanie Sulewski practices at 1063 Uss Tennessee Ave Avenue Ql 11, Kings Bay, GA 31547. The listed phone number is (210) 651-0027.

What is Stephanie Sulewski'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 Stephanie Sulewski was last updated on December 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.