MISS HEATHER MARITA NICCOLI HS3
NPI 1730273038
Military Health Care Provider - Independent Duty Medical Technicians in Milwaukee, WI

Active since October 03, 2006
2420 S LINCOLN MEMORIAL DR, USCG SECTOR LAKE MICHIGAN-MEDICAL, MILWAUKEE, WI 53207(414) 747-7110(414) 747-7891 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Heather Marita Niccoli Hs3 NPPES

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

MISS HEATHER MARITA NICCOLI HS3 (NPI 1730273038) is an individual independent duty medical technicians provider in Milwaukee, Wisconsin, licensed in California (1259829) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1730273038
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameMISS HEATHER MARITA NICCOLICredential: HS3
Location Address2420 S LINCOLN MEMORIAL DR, USCG SECTOR LAKE MICHIGAN-MEDICALMilwaukee, WI 53207-1902
Mailing Address3431 S 113th St Apt 3West Allis, WI 53227-3954 · (414) 747-7110 · Fax (414) 747-7891
Fax(414) 747-7891
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1730273038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
License Licensed in CA · 1259829
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.
2420 S LINCOLN MEMORIAL DR, Milwaukee, WI 53207

Other Providers at the Same Location NPPES 3

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)
2420 S LINCOLN MEMORIAL DR
MILWAUKEE, WI 53207
Military Health Care Provider (Independent Duty Corpsman)
2420 S LINCOLN MEMORIAL DR
MILWAUKEE, WI 53207
Military Health Care Provider (Independent Duty Medical Technicians)
2420 S LINCOLN MEMORIAL DR
MILWAUKEE, WI 53207

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 Heather Niccoli's NPI number?

The NPI number for Heather Niccoli is 1730273038. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Heather Niccoli located?

Heather Niccoli practices at 2420 S Lincoln Memorial Dr Uscg Sector Lake Michigan-Medical, Milwaukee, WI 53207. The listed phone number is (414) 747-7110.

What is Heather Niccoli'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 Heather Niccoli was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.