NICOLE PENNOCK IDMT
NPI 1508000225
Military Health Care Provider - Independent Duty Medical Technicians in Mcguire Afb, NJ

NPI Status: Active since April 24, 2009

Contact Information

3458 NEELY RD
MCGUIRE AFB, NJ
ZIP 08641
Phone: (609) 754-9080

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  • Individual
  • Female
  • Military Health Care Provider
  • Independent Duty Medical Technicians

About NICOLE PENNOCK

This page provides the complete NPI Profile along with additional information for Nicole Pennock, a provider established in Mcguire Afb, New Jersey with a medical specialization in Military Health Care Provider, focusing in independent duty medical technicians . The healthcare provider is registered in the NPI registry with number 1508000225 assigned on April 2009. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1508000225
Provider Name
NICOLE PENNOCK IDMT
Gender
Female
Entity Type
Individual
Location Address
3458 NEELY RD MCGUIRE AFB, NJ 08641
Location Phone
(609) 754-9080
Mailing Address
3458 NEELY RD MCGUIRE AFB, NJ 08641
Is Sole Proprietor?
No
Enumeration Date
04-24-2009
Last Update Date
04-24-2009
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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.

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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 1508000225, we treat the final digit (5) 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 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 0 → 0 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 0 + 0 + 0 + 2 + 4 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1508000225.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Optometrist
3458 NEELY RD
MC GUIRE AFB, NJ 08641
Physical Therapist
3458 NEELY RD, 305TH MEDICAL GROUP
MCGUIRE AIR FORCE BASE, NJ 08641
Pediatrics
3458 NEELY RD
MC GUIRE AFB, NJ 08641
Pharmacist
3458 NEELY RD, 305TH MEDICAL GROUP
MC GUIRE AFB, NJ 08641
Physical Therapist
3458 NEELY RD
MC GUIRE AFB, NJ 08641
Nurse Practitioner (Family)
3458 NEELY RD
MC GUIRE AFB, NJ 08641
Military Health Care Provider (Independent Duty Medical Technicians)
3458 NEELY RD
MCGUIRE AFB, NJ 08641
Social Worker (Clinical)
3458 NEELY RD
MC GUIRE AFB, NJ 08641
Psychologist
3458 NEELY RD
TRENTON, NJ 08641
Nurse Practitioner (Family)
3458 NEELY RD
TRENTON, NJ 08641
Military Health Care Provider (Independent Duty Medical Technicians)
3458 NEELY RD
JB MDL, NJ 08641
Social Worker
3458 NEELY RD
JB MDL, NJ 08641
General Practice
3458 NEELY RD
MC GUIRE AFB, NJ 08641
Family Medicine
3458 NEELY RD
JOINT BASE MDL, NJ 08641
Pharmacist
3458 NEELY RD
JOINT BASE MDL, NJ 08641
Physical Therapist
3458 NEELY RD
JB MDL, NJ 08641
Pharmacist
3458 NEELY RD
JOINT BASE MDL, NJ 08641
Nurse Practitioner (Family)
3458 NEELY RD
JB MDL, NJ 08641
Psychologist (Clinical)
3458 NEELY RD
JOINT BASE MDL, NJ 08641
Dentist (General Practice)
3458 NEELY RD
JB MDL, NJ 08641

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508000225, enumerated as an "individual" on April 24, 2009.

The provider is located at 3458 NEELY RD MCGUIRE AFB, NJ 08641 and the phone number is (609) 754-9080.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.