Shanjida Rauf

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9122129 Issued in FL

Practice address

616 State Road 13, Ste 8
St. Johns, FL 32259-3874

Phone

(904) 512-1899

Fax

(904) 770-7592

NPI assigned

May 22, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Dermatology Associates of Tallahassee PA

  • Dermatology Physician
  • Tallahassee, FL
  • NPI 1295842672
  NPD
• Dermatology Associates of Tallahassee, PA

  • Dermatology Physician
  • Valdosta, GA
  • NPI 1730567504
  NPD (past)

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1689504433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13834",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323173834",
            "telephone_number": "850-205-6232",
            "fax_number": "855-975-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 STATE ROAD 13, STE 8",
            "city": "ST. JOHNS",
            "state": "FL",
            "postal_code": "322593874",
            "telephone_number": "904-512-1899",
            "fax_number": "904-770-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUF",
        "first_name": "SHANJIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9122129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Glen Racho, D.O.
• Jessica Anne Raines, CPNP-PC
• Kayleigh Ramos
• Raphael Companion Care Inc.
• Jennifer Lynn Raters, BCBA
• David Robert Ray Jr.
• RCM Healthcare Solutions, LLC
• Jenilee Rebarber, O.D.
• Karen Kathryn Reckamp, OTR/L ATP, SMS
• Janda Reed, BEHAVIOR TECHNICIAN

• Physician Assistant in St. Johns, FL
• Providers in St. Johns, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.