Shayla Rae, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

11024512 Issued in FL

Practice address

186 Southern Oak Dr
Ponte Vedra, FL 32081-8365

Phone

(641) 919-8889

NPI assigned

Nov 14, 2017

Last updated

Jul 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 14

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, TX, FL3 enrollments

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 3

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2183/brand/21/csg/1/fhir/r4
• Direct secure messaging: shayla.rae.2@23211.direct.athenahealth.com

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.

• Diana Health FL P.a.

  • Obstetrics & Gynecology Physician
  • Fort Walton Beach, FL
  • NPI 1194591966
  Medicare reassignment
• Privia Medical Group Gulf Coast, PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1578969465
  Medicare reassignment
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment
• Onevillage PBC

  • Case Manager/Care Coordinator
  • Chevy Chase, MD
  • NPI 1821776378
  NPD
• Reproductive Management Services, Inc.

  dba Jacksonville Center for Reproductive Medicine

  • Reproductive Endocrinology Physician
  • Jacksonville, FL
  • NPI 1952358319
  NPD (past)

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1942713888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PINDO PALM DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816085",
            "telephone_number": "641-919-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 SOUTHERN OAK DR",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320818365",
            "telephone_number": "641-919-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Massachusetts Ave NW Ste 114",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200164384",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "855-474-8005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Vantage Way Ste C240",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372281580",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "833-973-3648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 Perry Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208772169",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "855-474-8005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Binz St Ste 1490",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770046946",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "833-449-4023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3815 E Bell Rd Ste 3200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322162",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 Ohiohealth Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432021575",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "833-973-3649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1665 Antilley Rd",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796065265",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "833-973-3651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 S Fiske Blvd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329554306",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "833-449-4019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3715 Northside Pkwy NW Bldg 100 Ste 550",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303272886",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "855-474-8006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 N Glebe Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222034173",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "855-474-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAE",
        "first_name": "SHAYLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "GAA-NP005031",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "DC",
            "license": "500341786",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "11024512",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024195267",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1195791",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IA",
            "license": "F131158",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "42622",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "AC008712",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "0041939",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IA",
            "license": "B131158",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "987279",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "131158",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9637443",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "500341786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Publix Super Markets Inc (Publix Pharmacy #1243)
• Luana Purdy
• Pure Hope Weight Loss and Healthcare, LLC
• Puzzle Peace Counseling, LLC
• Radiology Imaging Associates, LLC
• Hiro M Rahbar, MD
• Omama Ashraf Rahmany, DO
• Nasrin Datar Raina, M.D.
• Christina Marie Ralko, CPNP-PC
• Travis Raulerson, MA

• Women's Health Nurse Practitioner in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.