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JASON RICHARD DUTY US NAVY DIVE IDC
NPI 1487932141
Military Health Care Provider - Independent Duty Corpsman in Virginia Beach, VA

Active since July 29, 2011
1004 HERMITAGE RD, JOINT EXPEDITIONARY BASE LITTLE CREEK BLDG 2052, VIRGINIA BEACH, VA 23459(740) 974-2197 Get Directions Write a Review

NPPES record last updated: July 29, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jason Richard Duty Us Navy Dive Idc NPPES

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

JASON RICHARD DUTY US NAVY DIVE IDC (NPI 1487932141) is an individual independent duty corpsman provider in Virginia Beach, Virginia and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1487932141
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJASON RICHARD DUTYCredential: US NAVY DIVE IDC
Location Address1004 HERMITAGE RD, JOINT EXPEDITIONARY BASE LITTLE CREEK BLDG 2052Virginia Beach, VA 23459-9100
Mailing Address11586 Windcrest Ln, #2014San Diego, CA 92128-6423 · (740) 974-2197
Phone(740) 974-2197
Sole ProprietorNo
Enumeration DateJuly 29, 2011
✔ NPI 1487932141 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.
1004 HERMITAGE RD, Virginia Beach, VA 23459
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Other Providers at the Same Location NPPES 3

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

BRIAN HUNSICKER IDC
Military Health Care Provider (Independent Duty Corpsman)
1004 HERMITAGE RD
VIRGINIA BEACH, VA 23459
Virginia Beach City (757) 462-3178
MARSHALL NEIL SHERRILL IDC/DMT
Military Health Care Provider (Independent Duty Corpsman)
1004 HERMITAGE RD, BLDG 2014
VIRGINIA BEACH, VA 23459
Virginia Beach City (757) 462-3178
LEE JANSSEN
Military Health Care Provider (Independent Duty Corpsman)
1004 HERMITAGE RD
VIRGINIA BEACH, VA 23459
Virginia Beach City (850) 866-4130

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 Jason Duty's NPI number?

The NPI number for Jason Duty is 1487932141. It was assigned to this individual provider in the NPPES registry on July 29, 2011.

Where is Jason Duty located?

Jason Duty practices at 1004 Hermitage Rd Joint Expeditionary Base Little Creek Bldg 2052, Virginia Beach, VA 23459. The listed phone number is (740) 974-2197.

What is Jason Duty'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 Jason Duty was last updated on July 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.