MR. JACKIE GLEN WHITTEN JR. IDMT-PARAMEDIC
NPI 1811131980
Military Health Care Provider - Independent Duty Medical Technicians in Tinker Afb, OK

Active since April 21, 2009
5700 ARNOLD ST, BLDG 5801, TINKER AFB, OK 73145(405) 736-2820(405) 736-2677 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jackie Glen Whitten Jr. Idmt-paramedic NPPES

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

MR. JACKIE GLEN WHITTEN JR. IDMT-PARAMEDIC (NPI 1811131980) is an individual independent duty medical technicians provider in Tinker Afb, Oklahoma and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1811131980
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. JACKIE GLEN WHITTEN JR.Credential: IDMT-PARAMEDIC
Location Address5700 ARNOLD ST, BLDG 5801Tinker Afb, OK 73145-8105
Mailing Address5700 Arnold St, Bldg 5801Tinker Afb, OK 73145-8105 · (405) 736-2820 · Fax (405) 736-2677
Fax(405) 736-2677
Sole ProprietorNo
Enumeration DateApril 21, 2009
NPI 1811131980 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.
5700 ARNOLD ST, Tinker Afb, OK 73145

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.

Social Worker (Clinical)
5700 ARNOLD ST, 72 MDG/SGOH
TINKER AFB, OK 73145
Pharmacist
5700 ARNOLD ST, 72MDG/SGSAP
OKLAHOMA CITY, OK 73145
Chiropractor
5700 ARNOLD ST, 72MDG/SGOSC
TINKER AFB, OK 73145
Military Health Care Provider (Independent Duty Medical Technicians)
5700 ARNOLD ST, BLDG 5801
TINKER AFB, OK 73145
Dentist (General Practice)
5700 ARNOLD ST
TINKER AFB, OK 73145
Emergency Medicine
5700 ARNOLD ST, 507 MDS
TINKER AFB, OK 73145
Preventive Medicine (Occupational Medicine)
5700 ARNOLD ST, 72 MDG FLIGHT MEDICINE
TINKER AFB, OK 73145
Dental Hygienist
5700 ARNOLD ST
TINKER AFB, OK 73145

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 Jackie Whitten's NPI number?

The NPI number for Jackie Whitten is 1811131980. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Where is Jackie Whitten located?

Jackie Whitten practices at 5700 Arnold St Bldg 5801, Tinker Afb, OK 73145. The listed phone number is (405) 736-2820.

What is Jackie Whitten'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 Jackie Whitten was last updated on April 21, 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.