MADELYNN R JOHNSON IDMT
NPI 1619602851
Military Health Care Provider - Independent Duty Medical Technicians in Nellis Afb, NV

Active since July 21, 2022
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2273 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 29, 2022, Jul 21, 2022 (2 updates tracked since 2022).

About Madelynn R Johnson Idmt NPPES

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

MADELYNN R JOHNSON IDMT (NPI 1619602851) is an individual independent duty medical technicians provider in Nellis Afb, Nevada and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1619602851
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameMADELYNN R JOHNSONCredential: IDMT
Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600
Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-2273
Sole ProprietorNo
Enumeration DateJuly 21, 2022
Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
NPI 1619602851 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.

4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

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Other Providers at the Same Location


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

Family Medicine
4700 LAS VEGAS BLVD N, NELLIS AFB
LAS VEGAS, NV 89191
Psychiatry & Neurology (Psychiatry)
4700 LAS VEGAS BLVD N, MIKE O'CALLAGHAN FEDERAL HOSPITAL
NELLIS AFB, NV 89191
Orthopaedic Surgery
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Podiatrist (Foot & Ankle Surgery)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Advanced Practice Midwife
4700 LAS VEGAS BLVD N
LAS VEGAS, NV 89191
Advanced Practice Midwife
4700 LAS VEGAS BLVD N, 99 MSGS/SGCG
NELLIS AFB, NV 89191
Dentist (General Practice)
4700 LAS VEGAS BLVD N, MIKE O'CALLAGHAN FEDERAL HOSPITAL
NELLIS AFB, NV 89191
Dentist (General Practice)
4700 LAS VEGAS BLVD N, SUITE 2419
NELLIS AFB, NV 89191
Dentist (Oral and Maxillofacial Surgery)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Family Medicine
4700 LAS VEGAS BLVD N, 99 AMDS/SGPF
NELLIS AFB, NV 89191
Pathology (Anatomic Pathology & Clinical Pathology)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Nurse Practitioner (Family)
4700 LAS VEGAS BLVD N, AMDS/SGPT
NELLIS AFB, NV 89191
Physical Therapist
4700 LAS VEGAS BLVD N, NELLIS AFB
LAS VEGAS, NV 89191
Nurse Anesthetist, Certified Registered
4700 LAS VEGAS BLVD N
LAS VEGAS, NV 89191
Nurse Practitioner (Pediatrics)
4700 LAS VEGAS BLVD N
LAS VEGAS, NV 89191
Anesthesiology (Pain Medicine)
4700 LAS VEGAS BLVD N, MIKE O'CALLAGHAN FEDERAL HOSPITAL
NELLIS AFB, NV 89191
Dentist
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191
Dental Hygienist
4700 LAS VEGAS BLVD N, SUITE 2419
LAS VEGAS, NV 89191
Physician Assistant (Medical)
4700 LAS VEGAS BLVD N, 99 AMDS/SGPF
LAS VEGAS, NV 89191
Social Worker (Clinical)
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 89191

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619602851, enumerated as an "individual" on July 21, 2022.

The provider is located at 4700 LAS VEGAS BLVD N NELLIS AFB, NV 89191 and the phone number is (702) 653-2273.

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