PEACE OUTPOST
NPI 1396628681
Military Health Care Provider - Independent Duty Medical Technicians in Lafayette, LA
NPI Status: Active since July 26, 2025
Contact Information
1423 E WILLOW ST APT 5
LAFAYETTE, LA
ZIP 70501
Phone: (337) 254-0675
- Organization
- Military Health Care Provider
- Independent Duty Medical Technicians
About PEACE OUTPOST
This page provides the complete NPI Profile along with additional information for Peace Outpost, a provider established in Lafayette, Louisiana operating as a Military Health Care Provider, focusing in independent duty medical technicians . The healthcare provider is registered in the NPI registry with number 1396628681 assigned on July 2025. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an organization and their NPI record was last updated one year ago. Peace Outpost operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Kyle Jackson (Medical Officer)
- NPI
- 1396628681
- Provider Name
- PEACE OUTPOST
- Entity Type
- Organization
- Location Address
- 1423 E WILLOW ST APT 5 LAFAYETTE, LA 70501
- Location Phone
- (337) 254-0675
- Mailing Address
- 628 N 4TH ST BATON ROUGE, LA 70802
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-26-2025
- Last Update Date
- 07-26-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider Independent Duty Medical Technicians
- Taxonomy Code
- 1710I1003X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1396628681, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396628681, enumerated as an "organization" on July 26, 2025.
The provider is located at 1423 E WILLOW ST APT 5 LAFAYETTE, LA 70501 and the phone number is (337) 254-0675.
Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.
