MRS. AMANDA NICHOLS
NPI 1518586122
Military Health Care Provider - Independent Duty Medical Technicians in Eielson Afb, AK

Active since April 14, 2020
2630 CENTRAL AVE # 3349, EIELSON AFB, AK 99702(907) 377-6245 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2020, Apr 14, 2020 (2 updates tracked since 2020).

About Mrs. Amanda Nichols NPPES

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

MRS. AMANDA NICHOLS (NPI 1518586122) is an individual independent duty medical technicians provider in Eielson Afb, Alaska and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1518586122
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameMRS. AMANDA NICHOLS
Location Address2630 CENTRAL AVE # 3349Eielson Afb, AK 99702-2301
Mailing Address2630 Central Ave # 3349Eielson Afb, AK 99702-2301
Sole ProprietorNo
Enumeration DateApril 14, 2020
Last NPPES UpdateMay 27, 20202 updates tracked since enumeration
NPPES CertifiedMay 27, 2020
NPI 1518586122 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 # 3349, Eielson Afb, AK 99702

Other Providers at the Same Location NPPES 11

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

Military Health Care Provider (Independent Duty Medical Technicians)
2630 CENTRAL AVE # 3349
EIELSON AFB, AK 99702
Pharmacist
2630 CENTRAL AVE # 3349
EIELSON AFB, AK 99702
Optometrist
2630 CENTRAL AVE # 3349
EIELSON AFB, AK 99702
Dental Hygienist
2630 CENTRAL AVE # 3349
EIELSON AFB, AK 99702
Military Health Care Provider (Independent Duty Medical Technicians)
2630 CENTRAL AVE # 3349
EIELSON AFB, AK 99702
Physician Assistant (Medical)
2630 CENTRAL AVE # 3349
EIELSON AFB, AK 99702
Psychologist (Clinical)
2630 CENTRAL AVE # 3349
EIELSON AFB, AK 99702
Pediatrics
2630 CENTRAL AVE # 3349
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 Amanda Nichols's NPI number?

The NPI number for Amanda Nichols is 1518586122. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Amanda Nichols located?

Amanda Nichols practices at 2630 Central Ave # 3349, Eielson Afb, AK 99702. The listed phone number is (907) 377-6245.

What is Amanda Nichols'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 Amanda Nichols was last updated on May 27, 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.