SHANNON SIMON LPN/NRP
NPI 1194539874
Military Health Care Provider - Independent Duty Medical Technicians in Tampa, FL

Active since February 04, 2025
3250 ZEMKE AVE, TAMPA, FL 33621(813) 828-2273 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Medical Technicians

About SHANNON SIMON

This page provides the complete NPI Profile along with additional information for Shannon Simon, a provider established in Tampa, Florida with a medical specialization in Military Health Care Provider, focusing in independent duty medical technicians . The healthcare provider is registered in the NPI registry with number 1194539874 assigned on February 2025. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1194539874 Verify this NPI
Provider Name
SHANNON SIMON LPN/NRP
Gender
Male
Entity Type
Individual
Location Address
3250 ZEMKE AVE TAMPA, FL 33621
Location Phone
(813) 828-2273
Mailing Address
13234 GREAT PLAINS DR RIVERVIEW, FL 33579
Mailing Phone
(734) 891-2396
Is Sole Proprietor?
No
Enumeration Date
02-04-2025
Last Update Date
02-04-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider Independent Duty Medical Technicians

Taxonomy Code
1710I1003X
Type
Other Service Providers
Taxonomy Description
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.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
3250 ZEMKE AVE
TAMPA, FL 33621
Pharmacist
3250 ZEMKE AVE
TAMPA, FL 33621
Dental Hygienist
3250 ZEMKE AVE
TAMPA, FL 33621
Physician Assistant
3250 ZEMKE AVE, 6TH MEDICAL GROUP
TAMPA, FL 33621
Dental Hygienist
3250 ZEMKE AVE
TAMPA, FL 33621
Social Worker (Clinical)
3250 ZEMKE AVE, MACDILL, AFB
TAMPA, FL 33621
Psychologist (Clinical)
3250 ZEMKE AVE
TAMPA, FL 33621
Family Medicine
3250 ZEMKE AVE
TAMPA, FL 33621
Audiologist
3250 ZEMKE AVE
TAMPA, FL 33621
Psychologist (Clinical)
3250 ZEMKE AVE
TAMPA, FL 33621
Nurse Practitioner (Women's Health)
3250 ZEMKE AVE
TAMPA, FL 33621
Nurse Practitioner (Pediatrics)
3250 ZEMKE AVE
TAMPA, FL 33621
General Practice
3250 ZEMKE AVE
MACDILL AFB, FL 33621
Nurse Practitioner (Obstetrics & Gynecology)
3250 ZEMKE AVE
TAMPA, FL 33621
Pharmacist
3250 ZEMKE AVE
TAMPA, FL 33621
Nurse Practitioner (Family)
3250 ZEMKE AVE
TAMPA, FL 33621
Pharmacist
3250 ZEMKE AVE
TAMPA, FL 33621
Family Medicine
3250 ZEMKE AVE
TAMPA, FL 33621
Pharmacist (Pharmacotherapy)
3250 ZEMKE AVE
TAMPA, FL 33621
Psychologist (Clinical)
3250 ZEMKE AVE
TAMPA, FL 33621

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194539874, enumerated as an "individual" on February 04, 2025.

The provider is located at 3250 ZEMKE AVE TAMPA, FL 33621 and the phone number is (813) 828-2273.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.