Jackson Waldrip, DO
NPI 1184374704 · Student in an Organized Health Care Education/Training Program · Derby, CT
Jackson Waldrip, DO is a Student in an Organized Health Care Education/Training Program provider in Derby, CT (NPI 1184374704).
Provider details
- NPI number
- 1184374704
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2022-03-26
- Last updated
- 2022-03-26
- Certified
- 2022-03-26
Frequently asked questions
- What is Jackson Waldrip's NPI number?
- Jackson Waldrip's National Provider Identifier (NPI) is 1184374704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Waldrip's specialty?
- Jackson Waldrip is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jackson Waldrip located?
- Jackson Waldrip's practice location on file with NPPES is 130 Division St, Derby, CT 06418-1326.
- What is Jackson Waldrip's phone number?
- The practice phone number listed in the NPPES registry for Jackson Waldrip is (203) 732-7327.
- Is Jackson Waldrip's NPI active?
- Yes — Jackson Waldrip's NPI (1184374704) is active in the NPPES registry as of the last update on 2022-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.