Daniel William Feeback, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

667 John Paul Jones Cir Naval Medical Center Portsmouth
Medical Department(Code No2M)
Norfolk, VA 23511-2419

Phone

(757) 443-0026

Fax

(757) 443-5706

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1235181058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 SHORELINE CIR APT 118",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522165",
            "telephone_number": "757-469-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 JOHN PAUL JONES CIR NAVAL MEDICAL CENTER PORTSMOUTH",
            "address_2": "MEDICAL DEPARTMENT(CODE NO2M)",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235112419",
            "telephone_number": "757-443-0026",
            "fax_number": "757-443-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEEBACK",
        "first_name": "DANIEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT DUTY CORPSMAN",
            "identifier": "1710I1002X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynn Faulkner
• Theresa Denise Fauntleroy
• Lisa Marie Feagin, PHARMD, BCPPS
• Fedserve Hampton Roads
• Eric C Fee, MD
• Megan Feeley, RC
• Lauren Michelle Feeney, NP
• Graham Fehr, D.O.
• Jordan Feigenbaum, M.D.
• Christine Feldbauer, ATC, LAT

• 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 20, 2012; 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.