NICHOLAS OTAZO
NPI 1649826652
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Q: What is Nicholas Otazo's NPI number?

The NPI number for Nicholas Otazo is 1649826652. It was assigned to this individual provider in the NPPES registry on August 15, 2019.

Q: What is Nicholas Otazo'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 Nicholas Otazo was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 15, 2019

3RD MRB 20073, CAMP LEJEUNE, NC 28546(470) 509-0705 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Nicholas Otazo NPPES

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

NICHOLAS OTAZO (NPI 1649826652) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1649826652

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameNICHOLAS OTAZO

Location Address3RD MRB 20073Camp Lejeune, NC 28546

Mailing Address1060 Henrys HlGreensboro, GA 30642-5209

Phone(470) 509-0705

Sole ProprietorYes

Enumeration DateAugust 15, 2019

✔ NPI 1649826652 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.

3RD MRB 20073, Camp Lejeune, NC 28546

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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 Nicholas Otazo's NPI number?

The NPI number for Nicholas Otazo is 1649826652. It was assigned to this individual provider in the NPPES registry on August 15, 2019.

Where is Nicholas Otazo located?

Nicholas Otazo practices at 3rd Mrb 20073, Camp Lejeune, NC 28546. The listed phone number is (470) 509-0705.

What is Nicholas Otazo'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 Nicholas Otazo was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.