TAYLOR ANNE STUBBLEFIELD IDC
NPI 1013663129
Military Health Care Provider - Independent Duty Corpsman in Pearl Harbor, HI

Q: What is Taylor Stubblefield's NPI number?

The NPI number for Taylor Stubblefield is 1013663129. It was assigned to this individual provider in the NPPES registry on February 28, 2022. The provider is also known as Taylor Anne Mercadel Idc.

Q: What is Taylor Stubblefield's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Active since February 28, 2022

480 CENTRAL AVE, PEARL HARBOR, HI 96860(951) 442-2444 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2023, Feb 28, 2022 (2 updates tracked since 2022).

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About Taylor Anne Stubblefield Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR ANNE STUBBLEFIELD IDC (NPI 1013663129) is an individual independent duty corpsman provider in Pearl Harbor, Hawaii and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1013663129

Entity TypeIndividualFemale

Primary Taxonomy1710I1002X

Provider Legal NameTAYLOR ANNE STUBBLEFIELDCredential: IDC

Location Address480 CENTRAL AVEPearl Harbor, HI 96860-4908

Mailing Address480 Central AvePearl Harbor, HI 96860-4908

Phone(951) 442-2444

Sole ProprietorNo

Enumeration DateFebruary 28, 2022

Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration

NPPES CertifiedAugust 21, 2023

✔ NPI 1013663129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

480 CENTRAL AVE, Pearl Harbor, HI 96860

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Other Names 1

Former Name (1)Taylor Anne Mercadel Idc

Other Providers at the Same Location NPPES 20

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