Individual provider Active NPI

Carolyn M Waldo, MD, FACEP

  • Emergency Medicine Physician
  • Kayenta, AZ
National Provider Identifier
1447266234
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
10273 Issued in SD
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
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, MO11 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
I20041008000859 KS Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Interventional Radiology 0345209888 Reassigns benefits to 1 organization
I20050225000186 TX Practitioner - Emergency MedicinePractitioner - Internal Medicine 0345209888 Reassigns benefits to 3 organizations
I20180416000922 ND Practitioner - Internal MedicinePractitioner - Emergency Medicine 0345209888 Reassigns benefits to 3 organizations
I20190423002803 NM Practitioner - Internal MedicinePractitioner - Emergency Medicine 0345209888 Reassigns benefits to 2 organizations
I20220307001264 FL Practitioner - Emergency Medicine 0345209888
I20230424002669 WY Practitioner - Internal Medicine 0345209888 Reassigns benefits to 3 organizations
I20230426000505 IA Practitioner - Internal Medicine 0345209888 Reassigns benefits to 1 organization
I20230426000644 SD Practitioner - Internal Medicine 0345209888 Reassigns benefits to 1 organization
I20230427001217 OK Practitioner - Internal Medicine 0345209888 Reassigns benefits to 1 organization
I20230505002218 MN Practitioner - Internal Medicine 0345209888
I20241224001148 MO Practitioner - Emergency MedicinePractitioner - Internal Medicine 0345209888 Reassigns benefits to 1 organization

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46522IAMDInternal Medicine Physician
65259MNMDInternal Medicine Physician
103474MOMDInternal Medicine Physician
13024-AWYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Eastern Kansas Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 14, 2026 Accepting new patients
Mercy Hospital Springfield CurrentSince Dec 30, 2024 Accepting new patients
Mercy Hospital Springfield CurrentSince Dec 30, 2024 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince May 24, 2018 Accepting new patients
Department of Health & Human Services PHS IHS CurrentSince Dec 30, 2017 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jun 13, 2025 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Jun 13, 2025 Accepting new patients
Glutality Provider Group of Kansas, PA. Internal Medicine CurrentSince Jun 2, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Nov 12, 2024 Accepting new patients
Memorial Hospital of Carbon County Family Medicine Current Accepting new patients
Las Cruces HB Medical Services LLC Emergency Medicine CurrentSince May 15, 2024 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Jul 17, 2023 Accepting new patients
Signify Health, LLC CurrentSince Feb 14, 2025 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
St Joseph's Hospital and Health Center CurrentSince Jul 17, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 17, 2025 Accepting new patients
Fedko Emergency Physicians New Mexico LLC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Nov 12, 2024 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.

View all 24

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

Verify at the official NPI Registry.