DESIREE ANDERSON IDMT
NPI 1295093912
Military Health Care Provider - Independent Duty Medical Technicians in Cannon Afb, NM

Active since May 01, 2012
208 W CASABLANCA AVE, CANNON AFB, NM 88103(850) 217-8587 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Desiree Anderson Idmt NPPES

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

DESIREE ANDERSON IDMT (NPI 1295093912) is an individual independent duty medical technicians provider in Cannon Afb, New Mexico and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1295093912
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameDESIREE ANDERSONCredential: IDMT
Location Address208 W CASABLANCA AVECannon Afb, NM 88103-5009
Mailing Address208 W Casablanca AveCannon Afb, NM 88103-5009 · (850) 217-8587
Sole ProprietorNo
Enumeration DateMay 1, 2012
NPI 1295093912 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.

208 W CASABLANCA AVE, Cannon Afb, NM 88103

Other Names 1

Former Name (1)Desiree Lastrapes

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
208 W CASABLANCA AVE, 27 MEDICAL GROUP BLDG 1400 CANNON AFB
CLOVIS, NM 88103
Military Health Care Provider (Independent Duty Medical Technicians)
208 W CASABLANCA AVE, 27 SOMDG
CANNON AFB, NM 88103
Physician Assistant
208 W CASABLANCA AVE, 100
CANNON AFB, NM 88103
Pharmacist
208 W CASABLANCA AVE
CANNON AFB, NM 88103
Military Health Care Provider (Independent Duty Medical Technicians)
208 W CASABLANCA AVE
CLOVIS, NM 88103
Clinic/Center (Military/U.S. Coast Guard Outpatient)
208 W CASABLANCA AVE, 27 MDSS SGSR
CANNON AFB, NM 88103
Family Medicine
208 W CASABLANCA AVE
CANNON AFB, NM 88103
Military Health Care Provider (Independent Duty Medical Technicians)
208 W CASABLANCA AVE
CANNON AFB, NM 88103

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 Desiree Anderson's NPI number?

The NPI number for Desiree Anderson is 1295093912. It was assigned to this individual provider in the NPPES registry on May 1, 2012. The provider is also known as Desiree Lastrapes.

Where is Desiree Anderson located?

Desiree Anderson practices at 208 W Casablanca Ave, Cannon Afb, NM 88103. The listed phone number is (850) 217-8587.

What is Desiree Anderson'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 Desiree Anderson was last updated on May 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.