MS. FREDA ANN HENDERSON
NPI 1124253554
Military Health Care Provider - Independent Duty Medical Technicians in Nellis Afb, NV

Active since May 29, 2009
4250 GRIFFISS AVE, NELLIS AFB, NV 89191(702) 404-1142 Get Directions Write a Review

NPPES record last updated: July 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Freda Ann Henderson NPPES

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

MS. FREDA ANN HENDERSON (NPI 1124253554) is an individual independent duty medical technicians provider in Nellis Afb, Nevada and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1124253554
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameMS. FREDA ANN HENDERSON
Location Address4250 GRIFFISS AVENellis Afb, NV 89191-7018
Mailing Address4250 Griffiss AveNellis Afb, NV 89191-7018
Sole ProprietorNo
Enumeration DateMay 29, 2009
Last NPPES UpdateJuly 27, 2009
NPI 1124253554 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.
4250 GRIFFISS AVE, Nellis Afb, NV 89191

Other Providers at the Same Location NPPES 4

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

Military Health Care Provider (Independent Duty Medical Technicians)
4250 GRIFFISS AVE
NELLIS AFB, NV 89191
Military Health Care Provider (Independent Duty Medical Technicians)
4250 GRIFFISS AVE
NELLIS AFB, NV 89191
Military Health Care Provider (Independent Duty Medical Technicians)
4250 GRIFFISS AVE
NELLIS AFB, NV 89191
Military Health Care Provider (Independent Duty Medical Technicians)
4250 GRIFFISS AVE
NELLIS AFB, NV 89191

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 Freda Henderson's NPI number?

The NPI number for Freda Henderson is 1124253554. It was assigned to this individual provider in the NPPES registry on May 29, 2009.

Where is Freda Henderson located?

Freda Henderson practices at 4250 Griffiss Ave, Nellis Afb, NV 89191. The listed phone number is (702) 404-1142.

What is Freda Henderson'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 Freda Henderson was last updated on July 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.