JONATHAN RASHAD HABERSHAM
NPI 1174045868
Military Health Care Provider - Independent Duty Medical Technicians in Apo, AP

Active since July 13, 2017

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2021, Jul 13, 2017 (2 updates tracked since 2017).

About Jonathan Rashad Habersham NPPES

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

JONATHAN RASHAD HABERSHAM (NPI 1174045868) is an individual independent duty medical technicians provider in Apo, AP and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1174045868
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameJONATHAN RASHAD HABERSHAM
Location AddressUNIT 2060Apo, AP 96278-2060
Mailing AddressUnit 2060Apo, AP 96278-2060
Sole ProprietorNo
Enumeration DateJuly 13, 2017
Last NPPES UpdateMarch 5, 20212 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
NPI 1174045868 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.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
UNIT 2060
APO, AP 96278
Emergency Medicine
UNIT 2060
APO, AP 96278
Family Medicine
UNIT 2060
APO, AP 96278
Registered Nurse
UNIT 2060
APO, AP 96278
Social Worker
UNIT 2060
APO, AP 96278
Dentist
UNIT 2060
APO, AP 96278
Occupational Therapist
UNIT 2060
APO, AP 96278
Nurse Practitioner (Women's Health)
UNIT 2060
APO, AP 96278

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 Jonathan Habersham's NPI number?

The NPI number for Jonathan Habersham is 1174045868. It was assigned to this individual provider in the NPPES registry on July 13, 2017.

Where is Jonathan Habersham located?

Jonathan Habersham practices at Unit 2060, Apo, AP 96278. The listed phone number is (315) 784-8717.

What is Jonathan Habersham'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 Jonathan Habersham was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.