HEIDI DERADE IDMT
NPI 1770838948
Military Health Care Provider - Independent Duty Medical Technicians in Jber, AK

Active since July 13, 2012
5955 ZEAMER AVE, JBER, AK 99506(907) 551-9009 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heidi Derade Idmt NPPES

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

HEIDI DERADE IDMT (NPI 1770838948) is an individual independent duty medical technicians provider in Jber, Alaska and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1770838948
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameHEIDI DERADECredential: IDMT
Location Address5955 ZEAMER AVEJber, AK 99506-3702
Mailing Address5955 Zeamer AveJber, AK 99506-3702 · (907) 551-9009
Sole ProprietorNo
Enumeration DateJuly 13, 2012
Last NPPES UpdateJune 29, 2021
NPPES CertifiedJune 29, 2021
NPI 1770838948 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.
5955 ZEAMER AVE, Jber, AK 99506

Other Names 1

Other Name (5)Heidi Goldman Idmt

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
5955 ZEAMER AVE
JBER, AK 99506
Pharmacist
5955 ZEAMER AVE
JBER, AK 99506
Emergency Medicine
5955 ZEAMER AVE, 3RD MD6
ELMENDORF AFB, AK 99506
Specialist/Technologist (Athletic Trainer)
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506
Dietitian, Registered
5955 ZEAMER AVE
JBER, AK 99506
Internal Medicine (Cardiovascular Disease)
5955 ZEAMER AVE, 673D MDG
JBER ELMENDORF AFB, AK 99506
Radiology (Diagnostic Radiology)
5955 ZEAMER AVE
JBER, AK 99506
Anesthesiology (Pain Medicine)
5955 ZEAMER AVE
ELMENDORF AFB, AK 99506

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 Heidi Derade's NPI number?

The NPI number for Heidi Derade is 1770838948. It was assigned to this individual provider in the NPPES registry on July 13, 2012. The provider is also known as Heidi Goldman Idmt.

Where is Heidi Derade located?

Heidi Derade practices at 5955 Zeamer Ave, Jber, AK 99506. The listed phone number is (907) 551-9009.

What is Heidi Derade'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 Heidi Derade was last updated on June 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.