OrganizationActive
Red Wing Shoes
NPI 1174058002 · Durable Medical Equipment & Medical Supplies · Tampa, FL
Red Wing Shoes is a Durable Medical Equipment & Medical Supplies organization in Tampa, FL (NPI 1174058002).
Provider details
- NPI number
- 1174058002
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Donna Walters, Manager(813) 969-4785
Specialties & taxonomies
Suppliers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11614 N Dale Mabry Hwy
Tampa, FL 33618-3502
Phone: (813) 969-4785
Street-level locationGet directions
Mailing address
11614 N Dale Mabry Hwy
Tampa, FL 33618-3502
Registry dates
- Enumerated
- 2017-04-28
- Last updated
- 2017-04-28
Frequently asked questions
- What is Red Wing Shoes's NPI number?
- Red Wing Shoes's National Provider Identifier (NPI) is 1174058002, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Red Wing Shoes?
- Red Wing Shoes is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Red Wing Shoes located?
- Red Wing Shoes's practice location on file with NPPES is 11614 N Dale Mabry Hwy, Tampa, FL 33618-3502.
- What is Red Wing Shoes's phone number?
- The practice phone number listed in the NPPES registry for Red Wing Shoes is (813) 969-4785.
- Who is the authorized official for Red Wing Shoes?
- The authorized official listed on Red Wing Shoes's NPPES record is Donna Walters, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Red Wing Shoes's NPI active?
- Yes — Red Wing Shoes's NPI (1174058002) is active in the NPPES registry as of the last update on 2017-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.