MR. SHANE A LACAILLADE IDMT
NPI 1881829497
Military Health Care Provider - Independent Duty Medical Technicians in Whiteman Afb, MO

Active since May 27, 2009
331 SIJAN AVE, WHITEMAN AFB, MO 65305(660) 687-1191 Get Directions Write a Review

NPPES record last updated: May 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shane A Lacaillade Idmt NPPES

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

MR. SHANE A LACAILLADE IDMT (NPI 1881829497) is an individual independent duty medical technicians provider in Whiteman Afb, Missouri and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1881829497
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. SHANE A LACAILLADECredential: IDMT
Location Address331 SIJAN AVEWhiteman Afb, MO 65305-1269
Mailing Address1307 Shamrock CtWarrensburg, MO 64093-2490 · (660) 747-3477
Sole ProprietorNo
Enumeration DateMay 27, 2009
NPI 1881829497 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.
331 SIJAN AVE, Whiteman Afb, MO 65305

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)
331 SIJAN AVE
WHITEMAN AFB, MO 65305
Psychologist (Clinical)
331 SIJAN AVE
WHITEMAN AIR FORCE BASE, MO 65305
Clinic/Center (Military/U.S. Coast Guard Outpatient)
331 SIJAN AVE, 509 MDSS SGSR
WHITEMAN AFB, MO 65305
Family Medicine
331 SIJAN AVE
WHITEMAN AFB, MO 65305
Pharmacist (Ambulatory Care)
331 SIJAN AVE
WHITEMAN AFB, MO 65305
Psychologist
331 SIJAN AVE, WHITEMAN AFB
WHITEMAN AFB, MO 65305
Social Worker (Clinical)
331 SIJAN AVE
WHITEMAN AIR FORCE BASE, MO 65305
Pediatrics
331 SIJAN AVE
KNOB NOSTER, MO 65305

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 Shane Lacaillade's NPI number?

The NPI number for Shane Lacaillade is 1881829497. It was assigned to this individual provider in the NPPES registry on May 27, 2009.

Where is Shane Lacaillade located?

Shane Lacaillade practices at 331 Sijan Ave, Whiteman Afb, MO 65305. The listed phone number is (660) 687-1191.

What is Shane Lacaillade'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 Shane Lacaillade was last updated on May 27, 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.