Active NPI
Raette Dawn Hall, PA
- Medical Physician Assistant
- Sarasota, FL
National Provider Identifier
1912191016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 9104287
- Practice address
- 3064 University Pkwy
Sarasota, FL 34243-2502 - Phone
- (941) 500-3970
- Fax
- (941) 377-4330
- NPI assigned
- Aug 31, 2007
- Last updated
- Apr 3, 2026
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 9104287 | FL | Primary |
Addresses
Primary practice location
3064 University Pkwy
Sarasota, FL 34243-2502
Mailing address
3443 Recurve Cir
Sarasota, FL 34240-8747
Phone (941) 504-7722
Other names 1
- Raette Dawn Moodie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Sarasota, FL 34240
Phone (941) 504-7722
3443 Recurve Circle
Sarasota, FL 34240-8747
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9104287 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essential Integrative Medicine LLC | Past | Accepting new patients | |
| Platinum Healthcare Physical Medicine, PLLC | Past | Accepting new patients | |
| Tran Chiropractic & Wellness Center Inc | Past | Accepting new patients | |
| Sunset Sports Medicine LLC | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Medical Physician Assistant
- Sarasota, FL
- NPI 1649093949
-
- Specialist
- Bradenton, FL
- NPI 1558390237
-
- General Practice Physician
- Tampa, FL
- NPI 1134470255
-
dba Platinum Healthcare Physical Medicine
- Physical Medicine & Rehabilitation Physician
- Sarasota, FL
- NPI 1194012377
-
- Sports Medicine (Family Medicine) Physician
- Sarasota, FL
- NPI 1912888033
-
dba Essential ChiroCare
- Chiropractor
- Tampa, FL
- NPI 1760500425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1912191016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3443 RECURVE CIR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342408747",
"telephone_number": "941-504-7722",
"fax_number": "941-377-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3064 UNIVERSITY PKWY",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342432502",
"telephone_number": "941-500-3970",
"fax_number": "941-377-4330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "RAETTE",
"middle_name": "DAWN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-31",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 9104287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAETTE",
"last_name": "MOODIE",
"middle_name": "DAWN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.