Shudl LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

SHUDL LLC

Practice address

343 N 10TH Ave
Pocatello, ID 83201-5254

Phone

(208) 240-3480

NPI assigned

Dec 15, 2021

Organization subpart

No

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

Authorized official

Name

Jessie M Redd

Title

Cfo

Phone

(208) 240-3480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1326707498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 N 10TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015254",
            "telephone_number": "208-240-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 N 10TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015254",
            "telephone_number": "208-240-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUDL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "REDD",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "208-240-3480"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher C Shields, MD
• Skyler Shane Shippen, M.D.
• Jo Anna Shotiveyaratana, MA, LPC
• Jessica Shotwell, SLP
• Alex Michael Shreiber, PHARMD
• Tyrone Richard Shuman, LCSW
• Chad Glen Sibbett, PA
• Randy C Sidwell, PT, MS, ATC
• Kyle James Siemen, DMD
• Haiden L Siepert, ATC, LAT

• Non-emergency Medical Transport (VAN) in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Non-emergency Medical Transport (VAN) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.