NORMA P GRANDBERRY IDMT
NPI 1740583350
Military Health Care Provider - Independent Duty Medical Technicians in Clovis, NM

Active since December 21, 2010
1501 WESTCHESTER ST, CLOVIS, NM 88101(757) 286-4505 Get Directions Write a Review

NPPES record last updated: December 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Norma P Grandberry Idmt NPPES

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

NORMA P GRANDBERRY IDMT (NPI 1740583350) is an individual independent duty medical technicians provider in Clovis, New Mexico and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1740583350
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameNORMA P GRANDBERRYCredential: IDMT
Location Address1501 WESTCHESTER STClovis, NM 88101-4638
Mailing Address1501 Westchester StClovis, NM 88101-4638 · (757) 286-4505
Sole ProprietorNo
Enumeration DateDecember 21, 2010
NPI 1740583350 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.
1501 WESTCHESTER ST, Clovis, NM 88101

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 Norma Grandberry's NPI number?

The NPI number for Norma Grandberry is 1740583350. It was assigned to this individual provider in the NPPES registry on December 21, 2010.

Where is Norma Grandberry located?

Norma Grandberry practices at 1501 Westchester St, Clovis, NM 88101. The listed phone number is (757) 286-4505.

What is Norma Grandberry'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 Norma Grandberry was last updated on December 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.