Shwetha Shri Rajagopalan

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

5000 US Highway 17 Ste 4
Fleming Island, FL 32003-8237

Phone

(904) 215-7855

NPI assigned

Jun 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Coast Dental P.a.

  • Dentist
  • Fleming Island, FL
  • NPI 1124694559
  NPD
• Coast Dental P.a.

  • Dentist
  • Tampa, FL
  • NPI 1992803860
  NPD (past)

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1306576517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 ORANGE BRANCH TRL",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322598671",
            "telephone_number": "404-451-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 US HIGHWAY 17 STE 4",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038237",
            "telephone_number": "904-215-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAGOPALAN",
        "first_name": "SHWETHA SHRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27028",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Alexandra Quero, APRN
• Chloe Rachal
• Dawn Elizabeth Radford-Dias, DO
• Maria N Rafael, NP
• Tarun Rai, M.D.
• Pooja Rana
• Raychel Lee Raymer
• Maria Magdalena Ready, PA
• Sathavaram Aravind Reddy, M.D.
• Savannah Reimer

• Student in an Organized Health Care Education/Training Program in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.