MRS. MARY ISSITT IDMT
NPI 1467686543
Military Health Care Provider - Independent Duty Medical Technicians in Travis Afb, CA

Active since May 05, 2009
DAVID GRANT MEDICAL CENTER, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535(707) 816-5950 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mary Issitt Idmt NPPES

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

MRS. MARY ISSITT IDMT (NPI 1467686543) is an individual independent duty medical technicians provider in Travis Afb, California and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1467686543
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameMRS. MARY ISSITTCredential: IDMT
Location AddressDAVID GRANT MEDICAL CENTER, 101 BODIN CIRCLETravis Afb, CA 94535-0001
Mailing Address5344 Anthony CtFairfield, CA 94533-1581 · (501) 615-5633
Sole ProprietorNo
Enumeration DateMay 5, 2009
Last NPPES UpdateApril 3, 2020
NPPES CertifiedApril 3, 2020
NPI 1467686543 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.
DAVID GRANT MEDICAL CENTER, Travis Afb, CA 94535

Other Names 1

Other Name (5)Mary Cruz

Other Providers at the Same Location NPPES 8

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

Dietitian, Registered (Nutrition, Renal)
DAVID GRANT MEDICAL CENTER
TRAVIS AFB, CA 94535
Nurse Anesthetist, Certified Registered
DAVID GRANT MEDICAL CENTER, 101 BODIN CIR
TRAVIS AFB, CA 94535
Radiology (Vascular & Interventional Radiology)
DAVID GRANT MEDICAL CENTER, 101 BODIN CIR
TRAVIS AFB, CA 94535
Internal Medicine (Gastroenterology)
DAVID GRANT MEDICAL CENTER, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Psychologist
DAVID GRANT MEDICAL CENTER, 101 BODIN CIRCLE, 4-EAST UNIT
TRAVIS AFB, CA 94535
Optometrist (Occupational Vision)
DAVID GRANT MEDICAL CENTER, 101 BODIN CIR
TRAVIS AFB, CA 94535
Family Medicine
DAVID GRANT MEDICAL CENTER, 101 BODIN CIRCLE
TRAVIS AIR FORCE BASE, CA 94535
Military Health Care Provider
DAVID GRANT MEDICAL CENTER, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535

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 Mary Issitt's NPI number?

The NPI number for Mary Issitt is 1467686543. It was assigned to this individual provider in the NPPES registry on May 5, 2009. The provider is also known as Mary Cruz.

Where is Mary Issitt located?

Mary Issitt practices at David Grant Medical Center 101 Bodin Circle, Travis Afb, CA 94535. The listed phone number is (707) 816-5950.

What is Mary Issitt'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 Mary Issitt was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.