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MS. ALYSSA M. GROAT SFIDC
NPI 1073983417
Military Health Care Provider - Independent Duty Corpsman in Jacksonville, FL

Active since September 28, 2015
3694 ALTA LAKES BLVD, JACKSONVILLE, FL 32226(904) 270-3806 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Alyssa M. Groat Sfidc NPPES

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

MS. ALYSSA M. GROAT SFIDC (NPI 1073983417) is an individual independent duty corpsman provider in Jacksonville, Florida and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1073983417
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameMS. ALYSSA M. GROATCredential: SFIDC
Location Address3694 ALTA LAKES BLVDJacksonville, FL 32226-2185
Mailing AddressPo Box 280046Jacksonville, FL 32228-0046 · (904) 270-3806
Phone(904) 270-3806
Sole ProprietorYes
Enumeration DateSeptember 28, 2015
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1073983417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3694 ALTA LAKES BLVD, Jacksonville, FL 32226
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Groat's NPI number?

The NPI number for Alyssa Groat is 1073983417. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Where is Alyssa Groat located?

Alyssa Groat practices at 3694 Alta Lakes Blvd, Jacksonville, FL 32226. The listed phone number is (904) 270-3806.

What is Alyssa Groat's specialty?

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

When was this NPI record last updated?

The NPPES record for Alyssa Groat was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.