Active NPI
Raina Imaging Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- RAINA IMAGING INC
- Practice address
- 245 Land Grant St Unit 6
Saint Augustine, FL 32092-1698 - Phone
- (904) 992-9749
- Fax
- (904) 992-8980
- NPI assigned
- Mar 14, 2014
- Last updated
- Oct 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly A Pankey, RVT
- Title
- Owner
- Phone
- (904) 992-9749
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | NU | Primary |
Addresses
Primary practice location
245 Land Grant St Unit 6
Saint Augustine, FL 32092-1698
Mailing address
245 Land Grant St Unit 6
Saint Augustine, FL 32092-1698
Phone (904) 992-9749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1215353172. Details of each certification follow.
Portable X-ray supplier certification: CCN 10X0009971
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- RAINA IMAGING, INC
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Oct 28, 2011
- Last certification
- May 30, 2025
- Ownership / control type
- Corporation
- Facility address
- 245 Land Grant St Unit 6
Saint Augustine, FL 32092
National Provider Directory
National Provider DirectoryLocations
3000 Hartley Rd
Ste 1
Jacksonville, FL 32257
Phone (904) 992-9749
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Denver, CO
- NPI 1629031299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1215353172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 LAND GRANT ST UNIT 6",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320921698",
"telephone_number": "904-992-9749",
"fax_number": "904-212-1508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 LAND GRANT ST UNIT 6",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320921698",
"telephone_number": "904-992-9749",
"fax_number": "904-992-8980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAINA IMAGING INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-14",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A",
"authorized_official_last_name": "PANKEY",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-992-9749",
"authorized_official_credential": "RVT"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.