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RED WING SHOES
NPI 1174058002
Durable Medical Equipment & Medical Supplies in Tampa, FL

Active since April 28, 2017
11614 N DALE MABRY HWY, TAMPA, FL 33618(813) 969-4785 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Red Wing Shoes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RED WING SHOES (NPI 1174058002) is a healthcare organization registered as a durable medical equipment & medical supplies in Tampa, Florida and active in the NPI registry since April 2017. The organization lists Donna Lynn Walters, Manager, as its authorized official.

NPPES Registry Identity

NPI1174058002
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameRED WING SHOES
Location Address11614 N DALE MABRY HWYTampa, FL 33618-3502
Mailing Address11614 N Dale Mabry HwyTampa, FL 33618-3502 · (813) 969-4785
Phone(813) 969-4785
Organization SubpartNo
Authorized OfficialDonna Lynn WaltersManager · (813) 969-4785
Enumeration DateApril 28, 2017
✔ NPI 1174058002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
11614 N DALE MABRY HWY, Tampa, FL 33618
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Red Wing Shoes's NPI number?

The NPI number for Red Wing Shoes is 1174058002. It was assigned to this organization in the NPPES registry on April 28, 2017.

Where is Red Wing Shoes located?

Red Wing Shoes is located at 11614 N Dale Mabry Hwy, Tampa, FL 33618. The listed phone number is (813) 969-4785.

What is Red Wing Shoes's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Red Wing Shoes was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.