PEACE OUTPOST
NPI 1396628681
Military Health Care Provider - Independent Duty Medical Technicians in Lafayette, LA

Active since July 26, 2025
1423 E WILLOW ST APT 5, LAFAYETTE, LA 70501(337) 254-0675 Get Directions Write a Review

NPPES record last updated: July 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peace Outpost NPPES

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

PEACE OUTPOST (NPI 1396628681) is a healthcare organization registered as an independent duty medical technicians in Lafayette, Louisiana and active in the NPI registry since July 2025. The organization lists Kyle Jackson, Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1396628681
Entity TypeOrganization
Primary Taxonomy1710I1003X
Legal Business NamePEACE OUTPOST
Location Address1423 E WILLOW ST APT 5Lafayette, LA 70501-3834
Mailing Address628 N 4th StBaton Rouge, LA 70802-5342
Organization SubpartNo
Authorized OfficialKyle JacksonMedical Officer · (720) 335-5339
Enumeration DateJuly 26, 2025
NPPES CertifiedJuly 26, 2025
NPI 1396628681 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.
1423 E WILLOW ST APT 5, Lafayette, LA 70501

Other Names 1

Doing Business AsPeace Outpost

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Peace Outpost's NPI number?

The NPI number for Peace Outpost is 1396628681. It was assigned to this organization in the NPPES registry on July 26, 2025.

Where is Peace Outpost located?

Peace Outpost is located at 1423 E Willow St Apt 5, Lafayette, LA 70501. The listed phone number is (337) 254-0675.

What is Peace Outpost'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 Peace Outpost was last updated on July 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.