NPI age
13 years
Enumerated 2013-04-24
● Active
Type 1 · Individual
Steven Etienne, IDMT
Etienne is 1 of 1 emergency medical technician, intermediate providers in Moody Afb and 1 of 35 in Georgia.
Primary specialty
Emergency Medical Technician, Intermediate
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-04-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 35 active emergency medical technician, intermediate providers in Georgia.
NPI age
13 years
↑ 4 yr above median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 8% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-04Enumerated in NPPES
2013
2026
Where they practice
Practice location
3278 Mitchell Blvd
Moody Afb, GA 316991500
Mailing address
3278 Mitchell Blvd
Moody Afb, GA 316991500
Specialties
-
Emergency Medical Technician, Intermediate PrimaryAn Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
-
Registered NurseDefinition to come...
Practice context
Part of a multi-provider practice. 86 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.