1. Home
  2. Directory
  3. Texas
  4. Fort Bliss
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JAKE E DERTINGER
NPI 1326892472
Student in an Organized Health Care Education/Training Program in Fort Bliss, TX

Active since April 15, 2024
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906(915) 742-0576 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jake E Dertinger NPPES

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

JAKE E DERTINGER (NPI 1326892472) is an individual student in an organized health care education/training program in Fort Bliss, Texas and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1326892472
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAKE E DERTINGER
Location Address18511 HIGHLANDER MEDICS STFort Bliss, TX 79906-5327
Mailing Address18511 Highlander Medics StFort Bliss, TX 79906-5327 · (915) 742-0576
Phone(915) 742-0576
Sole ProprietorNo
Enumeration DateApril 15, 2024
NPPES CertifiedApril 15, 2024
✔ NPI 1326892472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
18511 HIGHLANDER MEDICS ST, Fort Bliss, TX 79906
Open in Google Maps ↗

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.

MS. ROCIO ERIKA SAMANIEGO
Social Worker (Clinical)
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-2800
DR. GEORGE CORTINAS PHARMD
Pharmacist
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (214) 535-5955
DR. JAMESON EVERETT HOFFMAN DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
18511 HIGHLANDER MEDICS ST
EL PASO, TX 79906
El Paso County (915) 742-9788
EUNICE SHIM
Student in an Organized Health Care Education/Training Program
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0576
DR. KATHRYN ANZOLA PT, DPT
Physical Therapist (Orthopedic)
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0238
TIMOTHY ERIC HOELL PA-C
Physician Assistant
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-4248
WILLIAM D MCCLELLAND MD
General Practice
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0576
DR. MICHAEL PATRICK AVILLION MD
Otolaryngology
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-2273

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 Jake Dertinger's NPI number?

The NPI number for Jake Dertinger is 1326892472. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Jake Dertinger located?

Jake Dertinger practices at 18511 Highlander Medics St, Fort Bliss, TX 79906. The listed phone number is (915) 742-0576.

What is Jake Dertinger's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jake Dertinger was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.