MR. NICHOLAS JAMES GRAHAM IDMT
NPI 1730317728
Military Health Care Provider - Independent Duty Medical Technicians in Fairchild Afb, WA

Active since June 29, 2009
2504 S.CHICAGO ST, FAIRCHILD AFB, WA 99011(509) 657-5414 Get Directions Write a Review

NPPES record last updated: June 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nicholas James Graham Idmt NPPES

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

MR. NICHOLAS JAMES GRAHAM IDMT (NPI 1730317728) is an individual independent duty medical technicians provider in Fairchild Afb, Washington and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1730317728
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. NICHOLAS JAMES GRAHAMCredential: IDMT
Location Address2504 S.CHICAGO STFairchild Afb, WA 99011
Mailing Address4320 W.deska Dr Apt 601Spokane, WA 99224 · (360) 701-1192
Sole ProprietorNo
Enumeration DateJune 29, 2009
NPI 1730317728 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.
2504 S.CHICAGO ST, Fairchild Afb, WA 99011

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 Nicholas Graham's NPI number?

The NPI number for Nicholas Graham is 1730317728. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Nicholas Graham located?

Nicholas Graham practices at 2504 S.Chicago St, Fairchild Afb, WA 99011. The listed phone number is (509) 657-5414.

What is Nicholas Graham'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 Nicholas Graham was last updated on June 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.