MISS KATHLEEN L LACASSE IDMT
NPI 1538802830
Military Health Care Provider - Independent Duty Medical Technicians in Mountian Home Afb, ID

Active since April 15, 2022
90 HOPE DRIVE BLDG 6000, MOUNTIAN HOME AFB, ID 83648(208) 828-7401 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2026, Apr 15, 2022 (2 updates tracked since 2022).

About Miss Kathleen L Lacasse Idmt NPPES

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

MISS KATHLEEN L LACASSE IDMT (NPI 1538802830) is an individual independent duty medical technicians provider in Mountian Home Afb, Idaho and active in the NPI registry since April 2022. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1538802830
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameMISS KATHLEEN L LACASSECredential: IDMT
Location Address90 HOPE DRIVE BLDG 6000Mountian Home Afb, ID 83648
Mailing Address90 Hope Drive Bldg 6000Mountian Home Afb, ID 83648 · (860) 921-6527
Sole ProprietorNo
Enumeration DateApril 15, 2022
Last NPPES UpdateMay 25, 20262 updates tracked since enumeration
NPPES CertifiedMay 25, 2026
NPI 1538802830 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.
90 HOPE DRIVE BLDG 6000, Mountian Home Afb, ID 83648

Secondary Practice Locations 2

Location 1Unit 14010 Bldg. 62012APO, AP 96543-4003 · Phone (860) 921-6527
Location 2300 Tuskegee BlvdDover, DE 19902-5003 · Phone (860) 921-6527

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Military and U.S. Coast Guard Ambulatory Procedure)
90 HOPE DRIVE BLDG 6000, 366 MEDICAL GROUP
MOUNTAIN HOME AFB, ID 83648
Military Health Care Provider (Independent Duty Medical Technicians)
90 HOPE DRIVE BLDG 6000
MOUNTAIN HOME, ID 83648

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 Kathleen Lacasse's NPI number?

The NPI number for Kathleen Lacasse is 1538802830. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Kathleen Lacasse located?

Kathleen Lacasse practices at 90 Hope Drive Bldg 6000, Mountian Home Afb, ID 83648. The listed phone number is (208) 828-7401.

What is Kathleen Lacasse'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 Kathleen Lacasse was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.