KENENA DANIELLE JOHNSON IDMT
NPI 1912223249
Military Health Care Provider - Independent Duty Medical Technicians in Huntsville, AL

Active since April 12, 2010
3711 PECAN GROVE DR NW, HUNTSVILLE, AL 35810(325) 518-6917 Get Directions Write a Review

NPPES record last updated: April 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenena Danielle Johnson Idmt NPPES

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

KENENA DANIELLE JOHNSON IDMT (NPI 1912223249) is an individual independent duty medical technicians provider in Huntsville, Alabama and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1912223249
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameKENENA DANIELLE JOHNSONCredential: IDMT
Location Address3711 PECAN GROVE DR NWHuntsville, AL 35810-2639
Mailing Address3711 Pecan Grove Dr NwHuntsville, AL 35810-2639
Sole ProprietorNo
Enumeration DateApril 12, 2010
NPI 1912223249 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.
3711 PECAN GROVE DR NW, Huntsville, AL 35810

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 Kenena Johnson's NPI number?

The NPI number for Kenena Johnson is 1912223249. It was assigned to this individual provider in the NPPES registry on April 12, 2010.

Where is Kenena Johnson located?

Kenena Johnson practices at 3711 Pecan Grove Dr NW, Huntsville, AL 35810. The listed phone number is (325) 518-6917.

What is Kenena Johnson'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 Kenena Johnson was last updated on April 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.