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STEVEN ETIENNE IDMT
NPI 1932543659
Emergency Medical Technician, Intermediate in Moody Afb, GA

Active since April 24, 2013
3278 MITCHELL BLVD, MOODY AFB, GA 31699(229) 257-4466 Get Directions Write a Review

NPPES record last updated: April 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Steven Etienne Idmt NPPES

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

STEVEN ETIENNE IDMT (NPI 1932543659) is an individual emergency medical technician, intermediate provider in Moody Afb, Georgia, licensed in Georgia (E3054072) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1932543659
Entity TypeIndividualMale
Primary Taxonomy146M00000X
Provider Legal NameSTEVEN ETIENNECredential: IDMT
Location Address3278 MITCHELL BLVDMoody Afb, GA 31699-1500
Mailing Address3278 Mitchell BlvdMoody Afb, GA 31699-1500 · (229) 257-4466
Phone(229) 257-4466
Sole ProprietorNo
Enumeration DateApril 24, 2013
✔ NPI 1932543659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medical Technician, IntermediateEmergency Medical Service Providers
Taxonomy Code146M00000X
License✔ Licensed in GA · E3054072
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License RN225389 (GA)
3278 MITCHELL BLVD, Moody Afb, GA 31699
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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.

DR. MESHVA AKWALIA D.O.
Pediatrics
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
DR. ADAM K FRY PT DPT
Physical Therapist
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-6364
DR. JAMES PIERCE PHARMD
Pharmacist
3278 MITCHELL BLVD, PHARMACY
MOODY AFB, GA 31699
Lowndes County (229) 257-2341
KONSTANTINE DIETRICH DDS
Dentist (General Practice)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
JEREL E MERIDA JR.
Physician Assistant
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
SAMUEL DEWAYNE OLDHAM PSYD
Psychologist (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
DEBRA SIZEMORE MS, WHNP-BC, RNC-OB
Nurse Practitioner (Women's Health)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (671) 366-2460
DR. LASHAYLA TEEMER DYER LCSW
Social Worker (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-3998

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 Steven Etienne's NPI number?

The NPI number for Steven Etienne is 1932543659. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Steven Etienne located?

Steven Etienne practices at 3278 Mitchell Blvd, Moody Afb, GA 31699. The listed phone number is (229) 257-4466.

What is Steven Etienne's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

When was this NPI record last updated?

The NPPES record for Steven Etienne was last updated on April 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.