JESSICA A. POWNELL
NPI 1346670551
Military Health Care Provider - Independent Duty Medical Technicians in Shaw Afb, SC

NPI Status: Active since November 25, 2013

Contact Information

420 POLIFKA DR
SHAW AFB, SC
ZIP 29152
Phone: (803) 895-6605

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  • Individual
  • Female
  • Military Health Care Provider
  • Independent Duty Medical Technicians

About JESSICA POWNELL

This page provides the complete NPI Profile along with additional information for Jessica Pownell, a provider established in Shaw Afb, South Carolina with a medical specialization in Military Health Care Provider, focusing in independent duty medical technicians . The healthcare provider is registered in the NPI registry with number 1346670551 assigned on November 2013. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and her NPI record was last updated March 2025.

NPI
1346670551
Provider Name
JESSICA A. POWNELL
Gender
Female
Entity Type
Individual
Location Address
420 POLIFKA DR SHAW AFB, SC 29152
Location Phone
(803) 895-6605
Mailing Address
420 POLIFKA DR SHAW AFB, SC 29152
Is Sole Proprietor?
No
Enumeration Date
11-25-2013
Last Update Date
03-25-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider Independent Duty Medical Technicians

Taxonomy Code
1710I1003X
Type
Other Service Providers
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346670551
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23861270510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 1 + 2 + 7 + 0 + 5 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1346670551 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134155773MS. THERESA JEAN ULICHNEY CNP
Individual
Nurse Practitioner (Women's Health)420 POLIFKA DR
SHAW AFB, SC 29152
(803) 895-6812
1104232701 VALERIE LUISA VILLANUEVA
Individual
Physician Assistant (Medical)420 POLIFKA DR
SHAW AFB, SC 29152
(038) 956-5428
1568005452DR. HANLON IGNATIUS MAIVELETT PHARMD
Individual
Pharmacist420 POLIFKA DR
SHAW AFB, SC 29152
(803) 895-6466
1164046520 PATTI E BUSSER
Individual
Social Worker420 POLIFKA DR
SHAW AFB, SC 29152
(803) 895-6095
1700206992 LOGAN PARROTT M.D.
Individual
Psychiatry & Neurology (Psychiatry)420 POLIFKA DR
SHAW AFB, SC 29152
(803) 895-6199
1689139727 BRI DURRANS DEAMARE RAMIREZ NP
Individual
Nurse Practitioner (Family)420 POLIFKA DR
SHAW AFB, SC 29152
(808) 772-9388
1114582483 REBECCA WILDER DPT
Individual
Physical Therapist420 POLIFKA DR
SHAW AFB, SC 29152
(803) 895-8658
1952715666 JEFFREY MYERS DO
Individual
Internal Medicine420 POLIFKA DR
SHAW AFB, SC 29152
(803) 895-6746
1083123020 ANA N CHAVIS PHARMD
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)420 POLIFKA DR
SHAW AFB, SC 29152
(803) 895-6466
1235492976 JULIE GRIFFITH M.D.
Individual
Family Medicine420 POLIFKA DR
SHAW AFB, SC 29152
(803) 895-7006
1891521191 ROBERTA POUND RN
Individual
Registered Nurse (Case Management)420 POLIFKA DR
SHAW AFB, SC 29152
(803) 895-6353
1003585399 DESMOND JACOB MARROQUIN
Individual
Military Health Care Provider (Independent Duty Medical Technicians)420 POLIFKA DR
SHAW AFB, SC 29152
(803) 885-0249
1184264541 RODRIGO CARRASCO
Individual
Physician Assistant420 POLIFKA DR
SHAW AFB, SC 29152
(785) 240-5579
1962030809 LEAH MICHELLE BAGLEY NP-C
Individual
Nurse Practitioner (Family)420 POLIFKA DR
SHAW AFB, SC 29152
(803) 895-6191

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346670551, enumerated in the NPI registry as an "individual" on November 25, 2013

The provider is located at 420 Polifka Dr Shaw Afb, Sc 29152 and the phone number is (803) 895-6605

The provider's speciality is Military Health Care Provider with taxonomy code 1710I1003X with a focus in Independent Duty Medical Technicians

This NPI record was last updated on November 25, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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