Active NPI
Tanner Trumble
- Certified Registered Nurse Anesthetist
- Boise, ID
National Provider Identifier
1003767294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 8881516
- Practice address
- 4815 W Richardson St
Boise, ID 83705-1257 - Phone
- (307) 871-4422
- NPI assigned
- Feb 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 8881516 | ID | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
4815 W Richardson St
Boise, ID 83705-1257
Mailing address
4815 W Richardson St
Boise, ID 83705-1257
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2537 W State St
Suite 200
Boise, ID 83702-2200
5001 LBJ Fwy
Suite 320
Dallas, TX 75244
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1003767294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 W RICHARDSON ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837051257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 W RICHARDSON ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837051257",
"telephone_number": "307-871-4422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUMBLE",
"first_name": "TANNER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-04",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ID",
"license": "8881516",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.