Nasrin Datar Raina, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME139724 Issued in FL

Practice address

151 Pine Lake Dr Ste B
Ponte Vedra, FL 32081-5136

Phone

(904) 543-3677

NPI assigned

Apr 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Solantic of Jacksonville, LLC

  • Urgent Care Clinic/Center
  • Ponte Vedra, FL
  • NPI 1407893100

  Family Medicine

  Medicare reassignment NPD
• Solantic of Jacksonville, LLC

  • Urgent Care Clinic/Center
  • Yulee, FL
  • NPI 1902574635
  NPD

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1003059270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 PINE LAKE DR STE B",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815136",
            "telephone_number": "904-543-3677",
            "fax_number": "904-587-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 PINE LAKE DR STE B",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815136",
            "telephone_number": "904-543-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINA",
        "first_name": "NASRIN",
        "middle_name": "DATAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME139724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puzzle Peace Counseling, LLC
• Radiology Imaging Associates, LLC
• Shayla Rae, APRN
• Hiro M Rahbar, MD
• Omama Ashraf Rahmany, DO
• Christina Marie Ralko, CPNP-PC
• Travis Raulerson, MA
• Alice Whitson Regan, RPH
• Kathryn Pray Reneau, LCSW
• Brandi Renfro, DPT

• Family Medicine Physician in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.