MS. ALEXISA M HUMPHREY IDMT
NPI 1891125001
Military Health Care Provider - Independent Duty Medical Technicians in Arnold Afb, TN

Active since November 25, 2013
225 VON KARMAN RD, BLDG 225, ARNOLD AFB, TN 37389(931) 454-5365 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Dec 21, 2017 (2 updates tracked since 2017).

About Ms. Alexisa M Humphrey Idmt NPPES

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

MS. ALEXISA M HUMPHREY IDMT (NPI 1891125001) is an individual independent duty medical technicians provider in Arnold Afb, Tennessee and active in the NPI registry since November 2013. She maintains a secondary practice location in Langley Afb.

NPPES Registry Identity

NPI1891125001
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameMS. ALEXISA M HUMPHREYCredential: IDMT
Location Address225 VON KARMAN RD, BLDG 225Arnold Afb, TN 37389
Mailing Address3241 Mitchell StTullahoma, TN 37388-4156 · (702) 427-1782
Sole ProprietorNo
Enumeration DateNovember 25, 2013
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1891125001 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.
225 VON KARMAN RD, Arnold Afb, TN 37389

Secondary Practice Location 1

Location 177 Nealy AveLangley AFB, VA 23665-2040 · Phone (757) 225-2452

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 Alexisa Humphrey's NPI number?

The NPI number for Alexisa Humphrey is 1891125001. It was assigned to this individual provider in the NPPES registry on November 25, 2013.

Where is Alexisa Humphrey located?

Alexisa Humphrey practices at 225 Von Karman Rd Bldg 225, Arnold Afb, TN 37389. The listed phone number is (931) 454-5365.

What is Alexisa Humphrey'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 Alexisa Humphrey was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.