Active NPI
Raquelle Alexander, M.D.
- Allergy Physician
- St Petersburg, FL
National Provider Identifier
1659363836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- ME60736
- Practice address
- 620 10TH Street N.
St Petersburg, FL 33705-1407 - Phone
- (727) 824-8218
- Fax
- (727) 824-8215
- NPI assigned
- Aug 16, 2005
- Last updated
- Mar 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | ME60736 | FL | Primary |
Addresses
Primary practice location
620 10TH Street N.
St Petersburg, FL 33705-1407
Mailing address
PO Box 12868
St Petersburg, FL 33733-2868
Phone (727) 532-1355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252689100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Medical Clinic LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1760664882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1659363836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12868",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337332868",
"telephone_number": "727-532-1355",
"fax_number": "727-266-4928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 10TH STREET N.",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051407",
"telephone_number": "727-824-8218",
"fax_number": "727-824-8215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "RAQUELLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "FL",
"license": "ME60736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252689100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
- Alexander Medical Group LLC (Alexander Orthopaedic Associates)
- Hayley Michelle Alexander, PHARMD
- Jonathan Charles Alexander, CRNA
- Michaela Pauline Alexander
- Noor Alexander, LMHC
- Suzanne Elizabeth Alexander, AGPCNP-BC, APRN, RN
- Alexandria Medical Transportation Inc
- Alexios Medical LLC
- Cirly Aleyas, ARNP
- Janelle Alfano, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.