NICOLE MARTINE HARDING IDC
NPI 1114681293
Military Health Care Provider - Independent Duty Corpsman in San Antonio, TX

Active since October 26, 2021
3851 ROGER BROOKE DR DEPT 15, SAN ANTONIO, TX 78234(916) 628-5455 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Martine Harding Idc NPPES

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

NICOLE MARTINE HARDING IDC (NPI 1114681293) is an individual independent duty corpsman provider in San Antonio, Texas, licensed in Texas (52463390) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1114681293
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameNICOLE MARTINE HARDINGCredential: IDC
Location Address3851 ROGER BROOKE DR DEPT 15San Antonio, TX 78234-6200
Mailing Address3071 Mustang MdwSeguin, TX 78155-1874 · (916) 628-5455
Sole ProprietorNo
Enumeration DateOctober 26, 2021
Last NPPES UpdateApril 27, 2026
NPPES CertifiedApril 27, 2026
NPI 1114681293 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
License Licensed in TX · 52463390
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.
3851 ROGER BROOKE DR DEPT 15, San Antonio, TX 78234

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3851 ROGER BROOKE DR DEPT 15
SAN ANTONIO, TX 78234

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 Nicole Harding's NPI number?

The NPI number for Nicole Harding is 1114681293. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Nicole Harding located?

Nicole Harding practices at 3851 Roger Brooke Dr Dept 15, San Antonio, TX 78234. The listed phone number is (916) 628-5455.

What is Nicole Harding'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 Nicole Harding was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.