TYLER A CORNELL IDC
NPI 1215693759
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Q: What is Tyler Cornell's NPI number?

The NPI number for Tyler Cornell is 1215693759. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Q: What is Tyler Cornell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyler Cornell was last updated on October 24, 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.

Active since November 09, 2021

PSC 20090, CAMP LEJEUNE, NC 28542(760) 453-4511 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2023, Nov 9, 2021 (2 updates tracked since 2021).

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About Tyler A Cornell Idc NPPES

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

TYLER A CORNELL IDC (NPI 1215693759) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina, licensed in (1215693759) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1215693759

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameTYLER A CORNELLCredential: IDC

Location AddressPSC 20090Camp Lejeune, NC 28542-0090

Mailing Address120 Walnut Hills DrRichlands, NC 28574-8346 · (760) 453-4511

Phone(760) 453-4511

Sole ProprietorNo

Enumeration DateNovember 9, 2021

Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration

NPPES CertifiedOctober 23, 2023

✔ NPI 1215693759 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 · 1215693759

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.

PSC 20090, Camp Lejeune, NC 28542

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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 Tyler Cornell's NPI number?

The NPI number for Tyler Cornell is 1215693759. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Tyler Cornell located?

Tyler Cornell practices at Psc 20090, Camp Lejeune, NC 28542. The listed phone number is (760) 453-4511.

What is Tyler Cornell'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 Tyler Cornell was last updated on October 24, 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.