Individual provider Active NPI

Raette Dawn Hall, PA

  • Medical Physician Assistant
  • Sarasota, FL
National Provider Identifier
1912191016
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 9104287 Issued in FL
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071002000862 FL Practitioner - Physician Assistant 5395830541 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
PA 9104287FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Integrative Medicine LLC PastSince Oct 20, 2012 Accepting new patients
Platinum Healthcare Physical Medicine, PLLC Past Accepting new patients
Tran Chiropractic & Wellness Center Inc PastSince Sep 19, 2007 Accepting new patients
Sunset Sports Medicine LLC PastSince Sep 14, 2025 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.

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

Verify at the official NPI Registry.