MRS. LAKESIA SHUNTA' CAMPBELL IDMT
NPI 1255567368
Military Health Care Provider - Independent Duty Medical Technicians in San Antonio, TX

Active since June 03, 2009
RR #2 BOX 5425, 343 TRS/MAS, SAN ANTONIO, TX 78257(210) 295-8337 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lakesia Shunta' Campbell Idmt NPPES

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

MRS. LAKESIA SHUNTA' CAMPBELL IDMT (NPI 1255567368) is an individual independent duty medical technicians provider in San Antonio, Texas and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1255567368
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameMRS. LAKESIA SHUNTA' CAMPBELLCredential: IDMT
Location AddressRR #2 BOX 5425, 343 TRS/MASSan Antonio, TX 78257
Mailing AddressRr 2 Box 5425, 343 Trs/ MasSan Antonio, TX 78257
Sole ProprietorNo
Enumeration DateJune 3, 2009
NPI 1255567368 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.

RR #2 BOX 5425, San Antonio, TX 78257

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255567368, enumerated as an "individual" on June 03, 2009.

The provider is located at RR #2 BOX 5425 343 TRS/MAS SAN ANTONIO, TX 78257 and the phone number is (210) 295-8337.

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