SAMANTHA CRUCET IDMT
NPI 1205108693
Military Health Care Provider - Independent Duty Medical Technicians in Fairchild Afb, WA

Active since February 01, 2012
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011(509) 247-5755 Get Directions Write a Review

NPPES record last updated: March 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Crucet Idmt NPPES

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

SAMANTHA CRUCET IDMT (NPI 1205108693) is an individual independent duty medical technicians provider in Fairchild Afb, Washington and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1205108693
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameSAMANTHA CRUCETCredential: IDMT
Location Address701 HOSPITAL LOOPFairchild Afb, WA 99011
Mailing Address701 Hospital LoopFairchild Afb, WA 99011 · (509) 247-5755
Sole ProprietorNo
Enumeration DateFebruary 1, 2012
Last NPPES UpdateMarch 20, 2013
NPI 1205108693 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.
701 HOSPITAL LOOP, Fairchild Afb, WA 99011

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.

Nurse Practitioner
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Social Worker (Clinical)
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Internal Medicine
701 HOSPITAL LOOP
FAIRCHILD AIR FORCE BASE, WA 99011
Physician Assistant
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Pediatrics
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Nurse Practitioner (Family)
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Clinic/Center (Military/U.S. Coast Guard Outpatient)
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011
Pediatrics
701 HOSPITAL LOOP
FAIRCHILD AFB, WA 99011

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 Samantha Crucet's NPI number?

The NPI number for Samantha Crucet is 1205108693. It was assigned to this individual provider in the NPPES registry on February 1, 2012.

Where is Samantha Crucet located?

Samantha Crucet practices at 701 Hospital Loop, Fairchild Afb, WA 99011. The listed phone number is (509) 247-5755.

What is Samantha Crucet'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 Samantha Crucet was last updated on March 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.