Amanda Ely, RRA/RPA, RT(R)(CT)

Primary specialty

Radiology Practitioner AssistantTaxonomy code 243U00000X

License

RA179 Issued in FL

Practice address

655 W 8TH St
Jacksonville, FL 32209-6511

Phone

(904) 244-0411

NPI assigned

Feb 8, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1467267443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75297 SEMPER FI DR",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320971704",
            "telephone_number": "904-657-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 8TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096511",
            "telephone_number": "904-244-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "AMANDA",
        "credential": "RRA/RPA, RT(R)(CT)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-08",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "FL",
            "license": "CRT85880",
            "primary": false
        },
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "FL",
            "license": "RA179",
            "primary": true
        },
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "FL",
            "license": "25RRAFL0222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Elstein, DDS
• Abeer Eltemtamy
• Swathi Eluri
• Sammer M. Elwasila, M.D.
• Ayelet Elwaya, PA-C
• Janice A. Ely, A.P.R.N.
• Randy Ely, RMHCI
• Selsabeel Elyaman, MD
• Elzila Home
• Maha Elzubair, DDS

• Radiology Practitioner Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Radiology Practitioner Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.