ADRIENNE L CLARK IDMT
NPI 1225263072
Military Health Care Provider - Independent Duty Medical Technicians in Las Vegas, NV

Active since May 22, 2009
5154 ELLSWORTH AVE, SUITE 61690, LAS VEGAS, NV 89191(702) 652-3507 Get Directions Write a Review

NPPES record last updated: May 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adrienne L Clark Idmt NPPES

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

ADRIENNE L CLARK IDMT (NPI 1225263072) is an individual independent duty medical technicians provider in Las Vegas, Nevada and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1225263072
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameADRIENNE L CLARKCredential: IDMT
Location Address5154 ELLSWORTH AVE, SUITE 61690Las Vegas, NV 89191
Mailing Address5154 Ellsworth Ave, Bldg 61690Las Vegas, NV 89191 · (702) 652-3507
Sole ProprietorNo
Enumeration DateMay 22, 2009
NPI 1225263072 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.
5154 ELLSWORTH AVE, Las Vegas, NV 89191

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 Adrienne Clark's NPI number?

The NPI number for Adrienne Clark is 1225263072. It was assigned to this individual provider in the NPPES registry on May 22, 2009.

Where is Adrienne Clark located?

Adrienne Clark practices at 5154 Ellsworth Ave Suite 61690, Las Vegas, NV 89191. The listed phone number is (702) 652-3507.

What is Adrienne Clark'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 Adrienne Clark was last updated on May 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.