SHANNON SIMON LPN/NRP
NPI 1194539874
Military Health Care Provider - Independent Duty Medical Technicians in Tampa, FL
- 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
- Code Navigator
Location Map
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.
TAMPA, FL 33621
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.