DEREK JAMES HALE
NPI 1679034011
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Q: What is Derek Hale's NPI number?

The NPI number for Derek Hale is 1679034011. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Q: What is Derek Hale'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 Derek Hale was last updated on March 28, 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 March 28, 2019

FC 83 NUMI, TROUT AVE, GROTON, CT 06340(860) 694-2876 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Derek James Hale NPPES

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

DEREK JAMES HALE (NPI 1679034011) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1679034011

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameDEREK JAMES HALE

Location AddressFC 83 NUMI, TROUT AVEGroton, CT 06340

Mailing Address445 Burningtree DrGroton, CT 06340-3109 · (361) 522-7382

Phone(860) 694-2876

Sole ProprietorNo

Enumeration DateMarch 28, 2019

✔ NPI 1679034011 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.

FC 83 NUMI, Groton, CT 06340

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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 Derek Hale's NPI number?

The NPI number for Derek Hale is 1679034011. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Derek Hale located?

Derek Hale practices at Fc 83 Numi Trout Ave, Groton, CT 06340. The listed phone number is (860) 694-2876.

What is Derek Hale'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 Derek Hale was last updated on March 28, 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.