NICOLE PUKYLO SPICKERMAN IDMT
NPI 1609002286
Military Health Care Provider - Independent Duty Medical Technicians in Hurlburt Field, FL

Active since June 09, 2009
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544(850) 884-1206 Get Directions Write a Review

NPPES record last updated: August 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Pukylo Spickerman Idmt NPPES

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

NICOLE PUKYLO SPICKERMAN IDMT (NPI 1609002286) is an individual independent duty medical technicians provider in Hurlburt Field, Florida and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1609002286
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameNICOLE PUKYLO SPICKERMANCredential: IDMT
Location Address113 LIELMANIS AVEHurlburt Field, FL 32544-5613
Mailing Address113 Lielmanis AveHurlburt Field, FL 32544-5613 · (850) 884-1206
Sole ProprietorNo
Enumeration DateJune 9, 2009
Last NPPES UpdateAugust 4, 2010
NPI 1609002286 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.
113 LIELMANIS AVE, Hurlburt Field, FL 32544

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.

Technician, Other
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
General Practice
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Dentist (Periodontics)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Optometrist
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Nurse Practitioner (Family)
113 LIELMANIS AVE, 1 SOMDG
HURLBURT FIELD, FL 32544
Nurse Practitioner (Family)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Military Health Care Provider (Independent Duty Medical Technicians)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544
Military Health Care Provider (Independent Duty Medical Technicians)
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544

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 Nicole Spickerman's NPI number?

The NPI number for Nicole Spickerman is 1609002286. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Where is Nicole Spickerman located?

Nicole Spickerman practices at 113 Lielmanis Ave, Hurlburt Field, FL 32544. The listed phone number is (850) 884-1206.

What is Nicole Spickerman'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 Nicole Spickerman was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.