MS. TAMARA DEE THACKER IDC
NPI 1528365095
Military Health Care Provider - Independent Duty Corpsman in Imperial Beach, CA

Q: What is Tamara Thacker's NPI number?

The NPI number for Tamara Thacker is 1528365095. It was assigned to this individual provider in the NPPES registry on February 18, 2011.

Q: What is Tamara 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 Tamara Thacker was last updated on February 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 February 18, 2011

1128 EMORY ST, IMPERIAL BEACH, CA 91932(619) 948-5154 Get Directions Write a Review

NPPES record last updated: February 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Tamara Dee Thacker Idc NPPES

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

MS. TAMARA DEE THACKER IDC (NPI 1528365095) is an individual independent duty corpsman provider in Imperial Beach, California and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1528365095

Entity TypeIndividualFemale

Primary Taxonomy1710I1002X

Provider Legal NameMS. TAMARA DEE THACKERCredential: IDC

Location Address1128 EMORY STImperial Beach, CA 91932-3324

Mailing Address1128 Emory StImperial Beach, CA 91932-3324 · (619) 948-5154

Phone(619) 948-5154

Sole ProprietorYes

Enumeration DateFebruary 18, 2011

✔ NPI 1528365095 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.

1128 EMORY ST, Imperial Beach, CA 91932

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Other Identifiers 1

Other9068Idc

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 Tamara Thacker's NPI number?

The NPI number for Tamara Thacker is 1528365095. It was assigned to this individual provider in the NPPES registry on February 18, 2011.

Where is Tamara Thacker located?

Tamara Thacker practices at 1128 Emory St, Imperial Beach, CA 91932. The listed phone number is (619) 948-5154.

What is Tamara 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 Tamara Thacker was last updated on February 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.