IndividualActive
Amy Dudley
NPI 1588028567 · Family Medicine Physician · Moscow, ID
Provider details
- NPI number
- 1588028567
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- M-15297 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
623 S Main St Ste 1
Moscow, ID 83843-2983
Phone: (208) 882-2011
Fax: (208) 883-1853
Street-level locationGet directions
Mailing address
Po Box 8007
Moscow, ID 83843-0507
Additional practice locations (1)
- 700 S Main StMoscow, ID 83843-3046Phone: (208) 882-4511Fax: (208) 883-6580
Registry dates
- Enumerated
- 2016-04-06
- Last updated
- 2025-09-12
- Certified
- 2025-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.