SHANNON RENEE TEDFORD IDMT
NPI 1427479815
Military Health Care Provider - Independent Duty Medical Technicians in Owings, MD

Active since January 02, 2014
156 CROSS POINT DR, OWINGS, MD 20736(731) 267-8201 Get Directions Write a Review

NPPES record last updated: January 2, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shannon Renee Tedford Idmt NPPES

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

SHANNON RENEE TEDFORD IDMT (NPI 1427479815) is an individual independent duty medical technicians provider in Owings, Maryland and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1427479815
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameSHANNON RENEE TEDFORDCredential: IDMT
Location Address156 CROSS POINT DROwings, MD 20736-3322
Mailing Address156 Cross Point DrOwings, MD 20736-3322 · (731) 267-8201
Sole ProprietorNo
Enumeration DateJanuary 2, 2014
✔ NPI 1427479815 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.
156 CROSS POINT DR, Owings, MD 20736

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 Shannon Tedford's NPI number?

The NPI number for Shannon Tedford is 1427479815. It was assigned to this individual provider in the NPPES registry on January 2, 2014.

Where is Shannon Tedford located?

Shannon Tedford practices at 156 Cross Point Dr, Owings, MD 20736. The listed phone number is (731) 267-8201.

What is Shannon Tedford'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 Shannon Tedford was last updated on January 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.