COREY THACKER
NPI 1235599234
Military Health Care Provider - Independent Duty Corpsman in Jacksonville, FL

Q: What is Corey Thacker's NPI number?

The NPI number for Corey Thacker is 1235599234. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Q: What is Corey Thacker'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 Corey Thacker was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 03, 2016

6801 ROOSEVELT BLVD BLDG 938, JACKSONVILLE, FL 32212(407) 325-9229 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Corey Thacker NPPES

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

COREY THACKER (NPI 1235599234) is an individual independent duty corpsman provider in Jacksonville, Florida and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1235599234

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameCOREY THACKER

Location Address6801 ROOSEVELT BLVD BLDG 938Jacksonville, FL 32212-1192

Mailing Address2828 Cedarcrest DrOrange Park, FL 32073-6512 · (407) 325-9229

Phone(407) 325-9229

Sole ProprietorYes

Enumeration DateMarch 3, 2016

Last NPPES UpdateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1235599234 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.

6801 ROOSEVELT BLVD BLDG 938, Jacksonville, FL 32212

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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 Corey Thacker's NPI number?

The NPI number for Corey Thacker is 1235599234. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Corey Thacker located?

Corey Thacker practices at 6801 Roosevelt Blvd Bldg 938, Jacksonville, FL 32212. The listed phone number is (407) 325-9229.

What is Corey Thacker'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 Corey Thacker was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.