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MS. COURTNEY NICOLE SMITH IDC
NPI 1912431826
Military Health Care Provider - Independent Duty Corpsman in Twentynine Palms, CA

Active since April 18, 2017
1145 STURGIS ROAD, TWENTYNINE PALMS, CA 92278(760) 830-2742 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2025, Apr 18, 2017 (2 updates tracked since 2017).

About Ms. Courtney Nicole Smith Idc NPPES

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

MS. COURTNEY NICOLE SMITH IDC (NPI 1912431826) is an individual independent duty corpsman provider in Twentynine Palms, California and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1912431826
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameMS. COURTNEY NICOLE SMITHCredential: IDC
Location Address1145 STURGIS ROADTwentynine Palms, CA 92278
Mailing Address1145 Sturgis RoadTwentynine Palms, CA 92278 · (760) 830-2742
Phone(760) 830-2742
Sole ProprietorYes
Enumeration DateApril 18, 2017
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
✔ NPI 1912431826 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.
1145 STURGIS ROAD, Twentynine Palms, CA 92278
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Other Providers at the Same Location NPPES 20

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

JANELLE MARIE MARRA DO
Family Medicine
1145 STURGIS ROAD, MAGTFTC MCAGCC
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2190
DR. AMANDA FAYE BOUDREAUX AUD
Audiologist
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2850
DIEGO ARMANDO AGUILAR PHARMD, RPH
Pharmacist
1145 STURGIS ROAD, NMRTC/NAVHOSP 29 PALMS/EMF BRAVO
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2117
DR. JEFFREY C RICKS M.D.
Emergency Medicine
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2354
DR. DAVID MCCALL GROVES DPT
Physical Therapist
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2140
CHRISTOPHER BARAJAS
Audiologist
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2190
BENJAMIN ERIC GROUNDS
Obstetrics & Gynecology
1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2117
RODRIGO FERNANDO LOPEZ CRNA
Nurse Anesthetist, Certified Registered
1145 STURGIS ROAD, NAVAL HOSPITAL TWENTYNINE PALMS
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2290

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 Courtney Smith's NPI number?

The NPI number for Courtney Smith is 1912431826. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Courtney Smith located?

Courtney Smith practices at 1145 Sturgis Road, Twentynine Palms, CA 92278. The listed phone number is (760) 830-2742.

What is Courtney Smith'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 Courtney Smith was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.