Active NPI
Carolyn M Waldo, MD, FACEP
- Emergency Medicine Physician
- Kayenta, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 10273
- Practice address
- 394 US Hwy160
Kayenta, AZ 86033 - Phone
- (928) 697-4000
- Fax
- (928) 697-4083
- NPI assigned
- Jul 31, 2006
- Last updated
- Jun 4, 2026
- 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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 10273 | SD | |
| Internal Medicine Physician | 207R00000X | 13024-A | WY | |
| Internal Medicine Physician | 207R00000X | 04-25472 | KS | |
| Internal Medicine Physician | 207R00000X | MD2019-0186 | NM | |
| Internal Medicine Physician | 207R00000X | 10325 | ND | |
| Internal Medicine Physician | 207R00000X | 23218 | OK | |
| Internal Medicine Physician | 207R00000X | 103474 | MO | |
| Internal Medicine Physician | 207R00000X | 10273 | SD | |
| Internal Medicine Physician | 207R00000X | 65259 | MN | |
| Internal Medicine Physician | 207R00000X | 46522 | IA | |
| Emergency Medicine Physician | 207P00000X | 10273 | SD | Primary |
Addresses
Primary practice location
394 US Hwy160
Kayenta, AZ 86033
Mailing address
3451 S Mercy Rd Ste 102
Gilbert, AZ 85297-0206
Phone (866) 817-5598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, TX, ND, NM, FL, WY, IA, SD, OK, MN, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46522 | IA | MD | Internal Medicine Physician |
| 65259 | MN | MD | Internal Medicine Physician |
| 103474 | MO | MD | Internal Medicine Physician |
| 13024-A | WY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Eastern Kansas Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Springfield | Current | Accepting new patients | |
| Mercy Hospital Springfield | Current | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Current | Accepting new patients | |
| Department of Health & Human Services PHS IHS | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| Glutality Provider Group of Kansas, PA. | Internal Medicine | Current | Accepting new patients |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Family Medicine | Current | Accepting new patients |
| Las Cruces HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| St. Joseph's Hospital and Health Center | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Memorial Hospital of Carbon County | Current | Accepting new patients | |
| St Joseph's Hospital and Health Center | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Fedko Emergency Physicians New Mexico LLC | Emergency Medicine | Current | Accepting new patients |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| St. Joseph's Hospital and Health Center | Current | Accepting new patients | |
| Fort Yates Indian Health Service Hospital | Past | Accepting new patients | |
| Prairie Lakes Health Care System Inc | Family Medicine | Past | Accepting new patients |
| Kayenta Alternative Rural Hospital | Past | Accepting new patients |
Locations
5300 Broken Sound Blvd NW
Ste 200
Boca Raton, FL 33487
Phone (888) 657-2560
401 Fairway Dr
Ste 200
Deerfield Beach, FL 33441
Phone (561) 208-1970
400 E Court Ave
Ste 110
Des Moines, IA 50309
7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033
350 E Devon Ave
Itasca, IL 60143
8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930
801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353
425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000
1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446
4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800
10601 S Western Ave
Ste 100
Oklahoma City, OK 73170
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
1712 Pioneer Ave
Cheyenne, WY 82001
Phone (307) 222-0371
1712 Pioneer Ave
Ste 135
Cheyenne, WY 82001
Phone (561) 375-5156
2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221
300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403
Organizations & group practices 24
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Cass Lake, MN
- NPI 1194754382
TX
-
- Emergency Medicine Physician
- Kansas City, KS
- NPI 1003561598
-
- Emergency Medicine Physician
- Grants, NM
- NPI 1770047441
-
dba MountainView Regional Medical Center
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1598446171
-
dba Wagon Circle Family Medical Clinic
- Family Medicine Physician
- Rawlins, WY
- NPI 1508900341
-
- Critical Access Hospital
- Rawlins, WY
- NPI 1710298757
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1043242159
-
dba Pine Ridge IHS Hospital
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
dba CHI St Alexius Health Dickinson Medical Clinic
- Clinic/Center
- Dickinson, ND
- NPI 1730464108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1447266234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3451 S MERCY RD STE 102",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852970206",
"telephone_number": "866-817-5598",
"fax_number": "855-307-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 US HWY160",
"city": "KAYENTA",
"state": "AZ",
"postal_code": "86033",
"telephone_number": "928-697-4000",
"fax_number": "928-697-4083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDO",
"first_name": "CAROLYN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD, FACEP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "SD",
"license": "10273",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WY",
"license": "13024-A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-25472",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2019-0186",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ND",
"license": "10325",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "23218",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "103474",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SD",
"license": "10273",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "65259",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "46522",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SD",
"license": "10273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kayenta, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.