MRS. JADE MARIE MEDDERS EMT-B
NPI 1750626172
Emergency Medical Technician, Basic in Port Orange, FL

Active since December 11, 2012
725 DUNLAWTON AVE, #291938, PORT ORANGE, FL 32129(386) 562-4070(386) 492-6941 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jade Marie Medders Emt-b NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JADE MARIE MEDDERS EMT-B (NPI 1750626172) is an individual emergency medical technician, basic provider in Port Orange, Florida, licensed in Florida (EMT509305) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1750626172
Entity TypeIndividualFemale
Primary Taxonomy146N00000X
Provider Legal NameMRS. JADE MARIE MEDDERSCredential: EMT-B
Location Address725 DUNLAWTON AVE, #291938Port Orange, FL 32129-7001
Mailing AddressPo Box 291938Port Orange, FL 32129-1938 · (386) 562-4070 · Fax (386) 760-0532
Fax(386) 492-6941
Sole ProprietorYes
Enumeration DateDecember 11, 2012
Last NPPES UpdateOctober 4, 2016
NPI 1750626172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medical Technician, BasicEmergency Medical Service Providers
Taxonomy Code146N00000X
License Licensed in FL · EMT509305
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
Also ListedPharmacy TechnicianTaxonomy 183700000X · License 280101040340690 (DC)
725 DUNLAWTON AVE, Port Orange, FL 32129

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jade Medders's NPI number?

The NPI number for Jade Medders is 1750626172. It was assigned to this individual provider in the NPPES registry on December 11, 2012.

Where is Jade Medders located?

Jade Medders practices at 725 Dunlawton Ave #291938, Port Orange, FL 32129. The listed phone number is (386) 562-4070.

What is Jade Medders's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Basic with taxonomy code 146N00000X.

When was this NPI record last updated?

The NPPES record for Jade Medders was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.