Individual provider Active NPI

Angelika S Raines, CRNA

  • Certified Registered Nurse Anesthetist
  • Maitland, FL
National Provider Identifier
1104069053
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9198468 Issued in FL
Practice address
291 Southhall LN
Maitland, FL 32751-7274
Phone
(407) 667-0505
NPI assigned
Apr 8, 2009
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP117779 TX
Certified Registered Nurse Anesthetist 367500000X 9198468 FL Primary

Addresses

Primary practice location

291 Southhall LN
Maitland, FL 32751-7274

Mailing address

440 Raynolds St # 51015
El Paso, TX 79905-1613
Phone (915) 215-4480

Other practice location 1

2000 Trans Mountain Rd
El Paso, TX 79911-3601
Phone (915) 215-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110120000213 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597815910 Reassigns benefits to 2 organizations
I20141028000986 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597815910 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
9198468FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso Ams, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2020 Accepting new patients
North Tampa Anesthesia Consultants CurrentSince Aug 30, 2012 Accepting new patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 28, 2014 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Mar 1, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Mar 1, 2018 Accepting new patients
Anesthesia Associates of El Paso PA CurrentSince Oct 19, 2017 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Texas Anesthesia Specialists PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

125 W Castellano Dr
El Paso, TX 79912
Phone (915) 532-8200

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

2000 Transmountain Rd
Ste A
El Paso, TX 79911
Phone (915) 215-4956

3909 N Mesa St
El Paso, TX 79902
Phone (915) 532-2222

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1104069053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 RAYNOLDS ST # 51015",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051613",
            "telephone_number": "915-215-4480",
            "fax_number": "915-215-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 SOUTHHALL LN",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517274",
            "telephone_number": "407-667-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Trans Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799113601",
            "country_code": "US",
            "telephone_number": "915-215-5666",
            "fax_number": "915-215-5047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAINES",
        "first_name": "ANGELIKA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP117779",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9198468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.