Active NPI
Debra A Lancaster, IDC
- Independent Duty Corpsman
- Jacksonville, FL
National Provider Identifier
1598987935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- 13201 Companion CT
Jacksonville, FL 32224-3113 - Phone
- (904) 220-8550
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
13201 Companion CT
Jacksonville, FL 32224-3113
Mailing address
13201 Companion CT
Jacksonville, FL 32224-3113
Phone (904) 270-5947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598987935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13201 COMPANION CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322243113",
"telephone_number": "904-270-5947",
"fax_number": "904-270-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13201 COMPANION CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322243113",
"telephone_number": "904-220-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCASTER",
"first_name": "DEBRA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "IDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"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": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.