ZACHERY LAVENDER IDMT-P
NPI 1487422390
Military Health Care Provider - Independent Duty Medical Technicians in Eielson Afb, AK

Active since December 20, 2023
2630 CENTRAL AVE, EIELSON AFB, AK 99702(907) 377-7835 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zachery Lavender Idmt-p NPPES

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

ZACHERY LAVENDER IDMT-P (NPI 1487422390) is an individual independent duty medical technicians provider in Eielson Afb, Alaska and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1487422390
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameZACHERY LAVENDERCredential: IDMT-P
Location Address2630 CENTRAL AVEEielson Afb, AK 99702-2301
Mailing Address2630 Central AveEielson Afb, AK 99702-2301 · (907) 377-7835
Sole ProprietorYes
Enumeration DateDecember 20, 2023
Last NPPES UpdateOctober 7, 2025
NPPES CertifiedOctober 7, 2025
NPI 1487422390 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.
2630 CENTRAL AVE, Eielson Afb, AK 99702

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.

Physician Assistant (Medical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Social Worker (Clinical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Nurse Practitioner (Pediatrics)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Military Health Care Provider (Independent Duty Medical Technicians)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Dentist
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Pediatrics
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Nurse Practitioner (Family)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Physician Assistant (Medical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702

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 Zachery Lavender's NPI number?

The NPI number for Zachery Lavender is 1487422390. It was assigned to this individual provider in the NPPES registry on December 20, 2023.

Where is Zachery Lavender located?

Zachery Lavender practices at 2630 Central Ave, Eielson Afb, AK 99702. The listed phone number is (907) 377-7835.

What is Zachery Lavender'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 Zachery Lavender was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.