Individual provider Active NPI

Tiffany Leeanna Cudmore

  • Non-emergency Medical Transport (VAN)
  • Caldwell, ID
National Provider Identifier
1831044544
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
AB150728J Issued in ID
Practice address
3317 Colorado Ave
Caldwell, ID 83605-6145
Phone
(208) 219-2081
NPI assigned
Feb 27, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X AB150728J ID Primary

Addresses

Primary practice location

3317 Colorado Ave
Caldwell, ID 83605-6145

Mailing address

3317 Colorado Ave
Caldwell, ID 83605-6145
Phone (208) 219-2081

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
AB150728JIDMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1831044544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 COLORADO AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056145",
            "telephone_number": "208-219-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 COLORADO AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836056145",
            "telephone_number": "208-219-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDMORE",
        "first_name": "TIFFANY",
        "middle_name": "LEEANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "ID",
            "license": "AB150728J",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.