Individual provider Active NPI

Tori Rindt, FNP

  • Nurse Practitioner
  • Medford, WI
National Provider Identifier
1740899582
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10211-33 Issued in WI
Practice address
811 W Broadway Ave Ste a
Medford, WI 54451-1307
Phone
(715) 748-5580
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10211-33 WI Primary

Addresses

Primary practice location

811 W Broadway Ave Ste a
Medford, WI 54451-1307

Mailing address

811 W Broadway Ave
Medford, WI 54451-1307
Phone (715) 748-5580

Other identifiers 1

IdentifierTypeStateIssuer
1740899582MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tori@tayloredfamilycare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028002673 WI Order and Referring Only - Family PracticePractitioner - Family Practice 2264842459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10211-33WIMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1740899582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W BROADWAY AVE",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511307",
            "telephone_number": "715-748-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W BROADWAY AVE STE A",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511307",
            "telephone_number": "715-748-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINDT",
        "first_name": "TORI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10211-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740899582",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tori@tayloredfamilycare.com",
            "affiliation": "N",
            "address_1": "811 W Broadway Ave Ste A",
            "city": "Medford",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544511307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, WI

Sources for this page

Verify at the official NPI Registry.