Nicole Freeborn
Military Health Care Provider (Independent Duty Corpsman)

Address: 34800 Bob Wilson Dr, Fpo, AP 92134
Phone: 6195326898

Nicole Freeborn (NPI# 1043776149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1043776149
Entity Type Individual
Full Name Nicole Freeborn
Credential IDC
Gender Female
Practice Address 34800 Bob Wilson Dr
Fpo
AP 92134
Practice Telephone 6195326898
Mailing Address 34800 Bob Wilson Dr
San Diego
CA 92134-1098
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-02-13
Last Update Date 2019-02-13

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1710I1002X Military Health Care Provider · Independent Duty Corpsman Other Service Providers

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

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1649810219 Maxwell Onyedikachi Osisioma Military Health Care Provider Psd-18, Macg-18, 1st Maw Unit 37172, Fpo, AP 96372 2020-01-13
1508406273 Daniel Levin Military Health Care Provider 3d Recon Bn Aid Station, Fpo, AP 96389-6189 2020-01-10
1053955609 Christopher Zartman Military Health Care Provider Camp Foster, Okinawa Japan, Fpo, AP 96379-0005 2019-11-06
1912553975 Brandon Joseph Dapper Military Health Care Provider Camp Lejeune, Nc, 2d Reconnaissance Battalion Battalion Aid Station, Fpo, AA 28542-0138 2019-08-15
1518525583 William Edward Mcbreen Jr. Military Health Care Provider Coastal Riverine Group 1 Detachment Guam, Fpo, AP 96540-1400 2019-06-04
1558832345 Nathaniel Franklin Campbell Military Health Care Provider Rr 612 Everett Creek Rd, Camp Lejuene, Fpo, AE 28542 2018-12-06
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Office Location

Street Address 34800 BOB WILSON DR
City FPO
State AP
Zip Code 92134

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
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Competitor

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City FPO
Zip Code 92134

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.