Cameron Defelice, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

47 Chandler St
Newport, RI 02841-1716

Phone

(401) 367-1249

NPI assigned

Oct 1, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1558033159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CHANDLER ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028411716",
            "telephone_number": "401-367-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CHANDLER ST",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028411716",
            "telephone_number": "401-367-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFELICE",
        "first_name": "CAMERON",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": "E3540136",
            "primary": false
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennae Emon Davis, LPC
• Carrie Lea Davis, MSN
• David Davis, FNP-C
• Alexandra C Day
• Donna M. Deascentis, MSE, LMHC, NCC
• Kathleen L Del Rio, MS
• Rachel Del Rosario, PT
• Steven Alan Denomme, IDC
• Tanya Depalma, FNP
• Nathanael Derose

• Independent Duty Corpsman in Newport, RI
• Providers in Newport, RI by specialty
• Independent Duty Corpsman in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.