Individual provider Active NPI

Rameni Guyadeen Rahim, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1972061448
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002589 Issued in FL
Practice address
6841 Blanding Blvd
Jacksonville, FL 32244-4418
Phone
(904) 862-2175
Fax
(904) 862-2330
NPI assigned
Mar 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN9168307 FL
Nurse Practitioner 363L00000X 11002589 FL
Nurse Practitioner 363L00000X APRN11002589 FL
Family Nurse Practitioner 363LF0000X APRN11002589 FL Primary

Addresses

Primary practice location

6841 Blanding Blvd
Jacksonville, FL 32244-4418

Mailing address

6841 Blanding Blvd
Jacksonville, FL 32244-4418
Phone (904) 862-2175

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
I20190822001746 FL Practitioner - Nurse Practitioner 7113255563 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11002589FLMDNurse Practitioner
RN9168307FLMDNurse Practitioner
APRN11002589FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC CurrentSince Aug 5, 2019 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC Current Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Dec 1, 2024 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Dec 1, 2024 Accepting new patients
Img Medical Group de PA PastSince Dec 31, 2025 Accepting new patients

Locations

11900 Atlantic Blvd
Unit 1
Jacksonville, FL 32225
Phone (904) 513-6991

6841 Blanding Blvd
Jacksonville, FL 32244
Phone (904) 862-2175

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

7200 Normandy Blvd
Ste 20
Jacksonville, FL 32205
Phone (904) 378-8520

4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

Organizations & group practices 5

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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1972061448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322444418",
            "telephone_number": "904-862-2175",
            "fax_number": "904-862-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 BLANDING BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322444418",
            "telephone_number": "904-862-2175",
            "fax_number": "904-862-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIM",
        "first_name": "RAMENI",
        "middle_name": "GUYADEEN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN9168307",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11002589",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11002589",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.