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DANIEL PATRICK SULLIVAN SUBMARINE IDC
NPI 1467399931
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since May 01, 2026
159 TROUT AVE, GROTON, CT 06349(860) 694-2876 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daniel Patrick Sullivan Submarine Idc NPPES

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

DANIEL PATRICK SULLIVAN SUBMARINE IDC (NPI 1467399931) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1467399931
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameDANIEL PATRICK SULLIVANCredential: SUBMARINE IDC
Location Address159 TROUT AVEGroton, CT 06349
Mailing Address159 Trout AveGroton, CT 06349 · (860) 694-2876
Phone(860) 694-2876
Sole ProprietorNo
Enumeration DateMay 1, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1467399931 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.
159 TROUT AVE, Groton, CT 06349
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Other Providers at the Same Location NPPES 8

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

BRENT DEANGELO HAMMOND IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 649-6451
ROBERT JAMES JONES IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 649-6451
ARTURO LEONARDO IGNACO SIONGCO SUBIDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTN, CT 06349
Southeastern Connecticut Planning Region (860) 910-6045
MR. MICHAEL DEAN COUCH IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 581-0090
MR. RANDY L PANKE NCCPA
Physician Assistant
159 TROUT AVE, NAVSUBASE NLON
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-6464
MR. JONATHON WAYNE WAITE IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-2876
MR. GREGORY CHRISTOPHER GARZA IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (530) 906-5872
DANIEL CURTIS ROBERTS IDC
Military Health Care Provider (Independent Duty Corpsman)
159 TROUT AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-2876

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 Daniel Sullivan's NPI number?

The NPI number for Daniel Sullivan is 1467399931. It was assigned to this individual provider in the NPPES registry on May 1, 2026.

Where is Daniel Sullivan located?

Daniel Sullivan practices at 159 Trout Ave, Groton, CT 06349. The listed phone number is (860) 694-2876.

What is Daniel Sullivan'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 Daniel Sullivan was last updated on May 1, 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.