MRS. JESSICA ROSE BEAVER
NPI 1154994838
Military Health Care Provider - Independent Duty Medical Technicians in Dyess Afb, TX

Active since July 21, 2021
697 LOUISIANA RD BLDG 9201, DYESS AFB, TX 79607(325) 696-6603 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Jul 21, 2021 (2 updates tracked since 2021).

About Mrs. Jessica Rose Beaver NPPES

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

MRS. JESSICA ROSE BEAVER (NPI 1154994838) is an individual independent duty medical technicians provider in Dyess Afb, Texas and active in the NPI registry since July 2021. She maintains a secondary practice location in Abilene.

NPPES Registry Identity

NPI1154994838
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameMRS. JESSICA ROSE BEAVER
Location Address697 LOUISIANA RD BLDG 9201Dyess Afb, TX 79607-1141
Mailing Address4 Higgins DrVernon, NJ 07462-3025 · (973) 941-1237
Sole ProprietorNo
Enumeration DateJuly 21, 2021
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
NPI 1154994838 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 BLDG 9201, Dyess Afb, TX 79607

Secondary Practice Location 1

Location 13041 Gilmer AveAbilene, TX 79606-3422 · Phone (973) 941-1237

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.

Psychologist (Clinical)
697 LOUISIANA RD BLDG 9201
DYESS AFB, TX 79607
Dental Hygienist
697 LOUISIANA RD BLDG 9201
ABILENE, TX 79607
Social Worker (Clinical)
697 LOUISIANA RD BLDG 9201
DYESS AFB, TX 79607
Pharmacist
697 LOUISIANA RD BLDG 9201
DYESS AFB, TX 79607
Military Health Care Provider (Independent Duty Medical Technicians)
697 LOUISIANA RD BLDG 9201
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 Jessica Beaver's NPI number?

The NPI number for Jessica Beaver is 1154994838. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Where is Jessica Beaver located?

Jessica Beaver practices at 697 Louisiana Rd Bldg 9201, Dyess Afb, TX 79607. The listed phone number is (325) 696-6603.

What is Jessica Beaver'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 Jessica Beaver was last updated on September 6, 2023. 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.