Active NPI
Torie Medders, APRN
- Pediatric Nurse Practitioner
- Tallahassee, FL
National Provider Identifier
1710519137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN11005728
- Practice address
- 2623 Centennial Blvd. Ste. 103
Tallahassee, FL 32308-0601 - Phone
- (850) 877-6119
- Fax
- (850) 878-0148
- NPI assigned
- Feb 5, 2020
- Last updated
- Jan 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN11005728 | FL | Primary |
Addresses
Primary practice location
2623 Centennial Blvd. Ste. 103
Tallahassee, FL 32308-0601
Mailing address
PO Box 12427
Tallahassee, FL 32317-2427
Phone (850) 297-0114
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11005728 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Florida, LLC | Past | Accepting new patients | |
| Tallahassee Primary Care Associates, PA | Past | Accepting new patients |
Interoperability endpoints
- torie.medders.1@8042.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
-
- Family Medicine Physician
- Tallahassee, FL
- NPI 1972661262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1710519137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12427",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323172427",
"telephone_number": "850-297-0114",
"fax_number": "850-297-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2623 CENTENNIAL BLVD. STE. 103",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323080601",
"telephone_number": "850-877-6119",
"fax_number": "850-878-0148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDDERS",
"first_name": "TORIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11005728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
- Spurgeon Walter McWilliams, MD
- Todd Clayton McWilliams, O.D.
- John L Meade, MD
- Suzane S Mechler, OD
- Carla Medacier
- Priscilla Aderonke Medehue, PA-C
- Medical Healing Center, LLC
- Medical Hotspots, Inc (Bailey's Medical Equipment and Supplies)
- Medical Rehabilitation Specialist III Inc (Injury Care Clinic of Tallahassee)
- Andrea Medvid, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.