Tiffany Leeanna Cudmore
Non-emergency Medical Transport (VAN) in Caldwell, ID. Individual provider (NPI-1).
NPI number1831044544
StatusActive
Last updated in NPPESFeb 27, 2026
Details
- NPI
- 1831044544
- Entity type
- Individual (NPI-1)
- Name
- Tiffany Leeanna Cudmore
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2026
- Certification date
- Feb 27, 2026
- Last updated
- Feb 27, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | AB150728J | ID | Yes |
Practice location
3317 Colorado AveCaldwell, ID 83605-6145
Phone 208-219-2081
Mailing address
3317 Colorado AveCaldwell, ID 83605-6145
Phone 208-219-2081
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Non-emergency Medical Transport (VAN) providers in Caldwell · All 1,097 providers in Caldwell
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