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RAYCHEL LEE RAYMER NPI 1376945188


NPI Profile

NPI: 1376945188
Provider Name: RAYCHEL LEE RAYMER
Classification:Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: BORLAND-GROOVER CLINIC PA

PECOS Registration: Yes

Address:
1747 BAPTIST CLAY DR STE 300
FLEMING ISLAND, FL
ZIP 32003
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Phone: (904) 214-8100

Raychel Lee Raymer is a medical physician assistant in Fleming Island, FL with 7 years of experience. Raychel Lee Raymer NPI is 1376945188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1747 BAPTIST CLAY DR STE 300
FLEMING ISLAND, FL
ZIP 32003-503
Phone: (904) 214-8100
Fax: (904) 214-8109

The NPI 1376945188 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/24/2014 and was last updated on 3/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedicalPA9108286FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1013457100MEDICAIDFLORIDA
2HY691ZOTHERFLORIDAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/9/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.