IndividualActive
Jessica Beaver
NPI 1154994838 · Independent Duty Medical Technicians · Dyess Afb, TX
Provider details
- NPI number
- 1154994838
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
697 Louisiana Rd Bldg 9201
Dyess Afb, TX 79607-1141
Phone: (325) 696-6603
Approximate (ZIP-level) locationGet directions
Mailing address
4 Higgins Dr
Vernon, NJ 07462-3025
Additional practice locations (1)
- 3041 Gilmer AveAbilene, TX 79606-3422Phone: (973) 941-1237
Registry dates
- Enumerated
- 2021-07-21
- Last updated
- 2023-09-06
- Certified
- 2023-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.