Provider Type Icon

MRS. JERRICA MARIE WILD NPI 1003109844


NPI Information

NPI: 1003109844
Provider Name: MRS. JERRICA MARIE WILD
Classification: Military Health Care Provider - 1710I1003X
Entity Type: Individual

Specialization: Independent Duty Medical Technicians

Address:
15301 WARREN SHINGLE ROAD
BEALE AFB, CA
ZIP 95903
Phone: (530) 634-4738
Get Directions

MRS. Jerrica Marie Wild is an independent duty medical technicians military health care provider in Beale Afb, CA. The provider is 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. MRS. Jerrica Marie Wild NPI is 1003109844. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15301 WARREN SHINGLE ROAD
BEALE AFB, CA
ZIP 95903
Phone: (530) 634-4738

The enumeration date for this NPI number is 5/26/2011 and was last updated on 11/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11710I1003XMilitary Health Care ProviderIndependent Duty Medical TechniciansYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.