Tammy Archibald, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

1035 Nider Blvd Ste 100
Norfolk, VA 23521-2701

Phone

(757) 953-8275

NPI assigned

Dec 12, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1043493018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 NIDER BLVD STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235212701",
            "telephone_number": "757-953-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 NIDER BLVD STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235212701",
            "telephone_number": "757-953-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "TAMMY",
        "name_prefix": "Mrs.",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Arcand
• Jason Paul Arceneaux, IDC
• Pamela Jeanne Arceneaux, IDC
• Alycia Archer, LPC
• David Fitzgerald Archer, MD
• Katelyn Marie Ard, RRT
• Megan Marie Arevalo, DNP, AGACNP-BC
• Jaime Sa Moreira de Argila, M.D.
• Miniely Arias
• Arima Corporation

• Independent Duty Corpsman in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Independent Duty Corpsman in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.