MR. DERICK LEE TIBBETTS IDMT
NPI 1972800514
Military Health Care Provider - Independent Duty Medical Technicians in Wichita, KS

Active since February 17, 2011
638 S WHITTIER ST, WICHITA, KS 67207(316) 841-3810 Get Directions Write a Review

NPPES record last updated: February 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Derick Lee Tibbetts Idmt NPPES

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

MR. DERICK LEE TIBBETTS IDMT (NPI 1972800514) is an individual independent duty medical technicians provider in Wichita, Kansas and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1972800514
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. DERICK LEE TIBBETTSCredential: IDMT
Location Address638 S WHITTIER STWichita, KS 67207-2222
Mailing Address638 S Whittier StWichita, KS 67207-2222 · (316) 841-3810
Sole ProprietorNo
Enumeration DateFebruary 17, 2011
NPI 1972800514 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.
638 S WHITTIER ST, Wichita, KS 67207

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 Derick Tibbetts's NPI number?

The NPI number for Derick Tibbetts is 1972800514. It was assigned to this individual provider in the NPPES registry on February 17, 2011.

Where is Derick Tibbetts located?

Derick Tibbetts practices at 638 S Whittier St, Wichita, KS 67207. The listed phone number is (316) 841-3810.

What is Derick Tibbetts'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 Derick Tibbetts was last updated on February 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.