LETICIA YVONNE BRAZIL MILITARY PROVIDER
NPI 1174889562
Military Health Care Provider - Independent Duty Medical Technicians in Whiteman Afb, MO

Active since April 10, 2012
331 SIJAN AVE., WHITEMAN AFB, MO 65305(940) 704-8099 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Leticia Yvonne Brazil Military Provider NPPES

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

LETICIA YVONNE BRAZIL MILITARY PROVIDER (NPI 1174889562) is an individual independent duty medical technicians provider in Whiteman Afb, Missouri and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1174889562
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameLETICIA YVONNE BRAZILCredential: MILITARY PROVIDER
Location Address331 SIJAN AVE.Whiteman Afb, MO 65305-5001
Mailing Address207 Sw T HwyKingsville, MO 64061-9229 · (940) 704-8099
Sole ProprietorNo
Enumeration DateApril 10, 2012
Last NPPES UpdateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
NPI 1174889562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedEmergency Medical Technician, ParamedicTaxonomy 146L00000X · License M5025933 (GA)
331 SIJAN AVE., Whiteman Afb, MO 65305

Other Names 1

Former Name (1)Leticia Yvonne Martin Paramedic

Other Providers at the Same Location NPPES

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

Registered Nurse (Case Management)
331 SIJAN AVE.
WHITEMAN AFB, MO 65305

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 Leticia Brazil's NPI number?

The NPI number for Leticia Brazil is 1174889562. It was assigned to this individual provider in the NPPES registry on April 10, 2012. The provider is also known as Leticia Yvonne Martin Paramedic.

Where is Leticia Brazil located?

Leticia Brazil practices at 331 Sijan Ave., Whiteman Afb, MO 65305. The listed phone number is (940) 704-8099.

What is Leticia Brazil'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 Leticia Brazil was last updated on February 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.