Dawn Michele Waldrop, CFO

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

RFO02225 Issued in VA

Practice address

4155 Highway 178 W
Red Banks, MS 38661-9603

Phone

(662) 551-2377

Fax

(662) 551-2372

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mrs. Dawn M Waldrop Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1750452595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 HIGHWAY 178 W",
            "address_2": "P.O. BOX 254",
            "city": "RED BANKS",
            "state": "MS",
            "postal_code": "386619603",
            "telephone_number": "662-551-2377",
            "fax_number": "662-551-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 HIGHWAY 178 W",
            "city": "RED BANKS",
            "state": "MS",
            "postal_code": "386619603",
            "telephone_number": "662-551-2377",
            "fax_number": "662-551-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDROP",
        "first_name": "DAWN",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "CFO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "RFO02225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06902890",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4582370",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "WALDROP",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "CFO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Designs by D & D
• Josephine Hines
• Lucas Transportation Service
• Katina Lachella Lucas
• Ginny Leigh Martin, FNP-C
• Angela Whalen, APN FNP-C

• Durable Medical Equipment & Medical Supplies in Red Banks, MS
• Providers in Red Banks, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.