Individual provider Active NPI

Rudolph Alphonso Litchmore

  • Driver
  • Milwaukee, WI
National Provider Identifier
1295520625
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
1009195090 Issued in WI
Practice address
9296 N 70TH St
Milwaukee, WI 53223-1108
Phone
(262) 505-7462
NPI assigned
Apr 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 1009195090 WI Primary

Addresses

Primary practice location

9296 N 70TH St
Milwaukee, WI 53223-1108

Mailing address

9296 N 70TH St
Milwaukee, WI 53223-1108
Phone (262) 505-7462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1009195090WIMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Ride-in-Our Transportation Service, LLC CurrentSince Apr 20, 2025 Accepting new patients
Ride-in-Our Transportation Service, LLC CurrentSince Apr 20, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1295520625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9296 N 70TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231108",
            "telephone_number": "262-505-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9296 N 70TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532231108",
            "telephone_number": "262-505-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITCHMORE",
        "first_name": "RUDOLPH",
        "middle_name": "ALPHONSO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "WI",
            "license": "1009195090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.