KODY WHITESIDE
NPI 1689060311
Military Health Care Provider - Independent Duty Medical Technicians in Tyndall Afb, FL

Active since April 09, 2015
340 MAGNOLIA CIR BLDG 1465, TYNDALL AFB, FL 32403(850) 283-2778 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 14, 2026, Oct 12, 2023, Sep 1, 2022 (3 updates tracked since 2022).

About Kody Whiteside NPPES

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

KODY WHITESIDE (NPI 1689060311) is an individual independent duty medical technicians provider in Tyndall Afb, Florida and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1689060311
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameKODY WHITESIDE
Location Address340 MAGNOLIA CIR BLDG 1465Tyndall Afb, FL 32403-5604
Mailing Address340 Magnolia Cir Bldg 1465Tyndall Afb, FL 32403-5604
Sole ProprietorNo
Enumeration DateApril 9, 2015
Last NPPES UpdateApril 14, 20263 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1689060311 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.
340 MAGNOLIA CIR BLDG 1465, Tyndall Afb, FL 32403

Other Providers at the Same Location NPPES 12

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

Social Worker (Clinical)
340 MAGNOLIA CIR BLDG 1465
TYNDALL AFB, FL 32403
Emergency Medicine
340 MAGNOLIA CIR BLDG 1465
TYNDALL AFB, FL 32403
Physician Assistant
340 MAGNOLIA CIR BLDG 1465
PANAMA CITY, FL 32403
Physical Therapist
340 MAGNOLIA CIR BLDG 1465
TYNDALL AFB, FL 32403
Social Worker (Clinical)
340 MAGNOLIA CIR BLDG 1465
TYNDALL AFB, FL 32403
Specialist/Technologist (Athletic Trainer)
340 MAGNOLIA CIR BLDG 1465
TYNDALL AFB, FL 32403
Psychologist (Clinical)
340 MAGNOLIA CIR BLDG 1465
TYNDALL AFB, FL 32403
Dentist
340 MAGNOLIA CIR BLDG 1465
PANAMA CITY, FL 32403

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 Kody Whiteside's NPI number?

The NPI number for Kody Whiteside is 1689060311. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Kody Whiteside located?

Kody Whiteside practices at 340 Magnolia Cir Bldg 1465, Tyndall Afb, FL 32403. The listed phone number is (850) 283-2778.

What is Kody Whiteside'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 Kody Whiteside was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.