1. Home
  2. Directory
  3. Connecticut
  4. Groton
  5. Military Health Care Provider
  6. NPI Profile

MANDISSA SARAFINA THOMPSON
NPI 1952153033
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since April 03, 2024
17 CYPRESS LN, GROTON, CT 06340(215) 087-0799 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mandissa Sarafina Thompson NPPES

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

MANDISSA SARAFINA THOMPSON (NPI 1952153033) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1952153033
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameMANDISSA SARAFINA THOMPSON
Location Address17 CYPRESS LNGroton, CT 06340-3004
Mailing Address17 Cypress LnGroton, CT 06340-3004 · (215) 087-0799
Phone(215) 087-0799
Sole ProprietorNo
Enumeration DateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1952153033 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.
17 CYPRESS LN, Groton, CT 06340
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

ANDRE JEROME MARIN SUB IDC
Military Health Care Provider (Independent Duty Corpsman)
17 CYPRESS LN
GROTON, CT 06340
Southeastern Connecticut Planning Region (216) 256-3186

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 Mandissa Thompson's NPI number?

The NPI number for Mandissa Thompson is 1952153033. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Mandissa Thompson located?

Mandissa Thompson practices at 17 Cypress Ln, Groton, CT 06340. The listed phone number is (215) 087-0799.

What is Mandissa Thompson'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 Mandissa Thompson was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.