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ANDREW AZEVEDO IDC
NPI 1396268595
Military Health Care Provider - Independent Duty Corpsman in Kittery, ME

Active since July 19, 2017
402 GOODRICH AVE, KITTERY, ME 03904(207) 438-4940 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2025, Jul 19, 2017 (2 updates tracked since 2017).

About Andrew Azevedo Idc NPPES

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

ANDREW AZEVEDO IDC (NPI 1396268595) is an individual independent duty corpsman provider in Kittery, Maine and active in the NPI registry since July 2017. He maintains a secondary practice location in Groton.

NPPES Registry Identity

NPI1396268595
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameANDREW AZEVEDOCredential: IDC
Location Address402 GOODRICH AVEKittery, ME 03904
Mailing Address402 Goodrich AvenueKittery, ME 03904 · (619) 771-5938
Phone(207) 438-4940
Sole ProprietorNo
Enumeration DateJuly 19, 2017
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1396268595 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.
402 GOODRICH AVE, Kittery, ME 03904
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Secondary Practice Location 1

Location 1159 Trout AveGroton, CT 06340 · Phone (860) 694-6450

Other Providers at the Same Location NPPES 13

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

DAVY JENKINS NP
Nurse Practitioner (Adult Health)
402 GOODRICH AVE
KITTERY, ME 03904
York County (207) 438-1130
GAGE DAVID-CLAYTON KAHN
Military Health Care Provider (Independent Duty Corpsman)
402 GOODRICH AVE
KITTERY, ME 03904
York County (207) 438-4940
ALAINA MICHELLE GERRIT PA-C
Physician Assistant (Medical)
402 GOODRICH AVE
KITTERY, ME 03904
York County (207) 438-1781
KIMBERLY M O'CONNOR RPH
Pharmacist
402 GOODRICH AVE
KITTERY, ME 03904
York County (207) 438-2582
CONNOR CACKOVIC DO
Preventive Medicine (Undersea and Hyperbaric Medicine)
402 GOODRICH AVE
KITTERY, ME 03904
York County (888) 628-9633
ELIZABETH J EATON PA
Physician Assistant
402 GOODRICH AVE
KITTERY, ME 03904
York County (207) 498-5981
DR. MASON BARKER DMD
Dentist (General Practice)
402 GOODRICH AVE
KITTERY, ME 03904
York County (207) 438-1404
DR. CALVIN LIMBERG PHARM.D.
Pharmacist
402 GOODRICH AVE
KITTERY, ME 03904
York County (207) 438-4940

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 Andrew Azevedo's NPI number?

The NPI number for Andrew Azevedo is 1396268595. It was assigned to this individual provider in the NPPES registry on July 19, 2017.

Where is Andrew Azevedo located?

Andrew Azevedo practices at 402 Goodrich Ave, Kittery, ME 03904. The listed phone number is (207) 438-4940.

What is Andrew Azevedo'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 Andrew Azevedo was last updated on July 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.