Organization Active NPI

Athens Pediatrics

Doing business as Over The Rainbow Pediatrics

  • Pediatrics Physician
  • Huntsville, AL
National Provider Identifier
1407043102
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ATHENS PEDIATRICS
Doing business as
Over The Rainbow Pediatrics
Practice address
2006 Franklin St.
Suite 107
Huntsville, AL 35801-4537
Phone
(256) 539-5339
Fax
(256) 536-5111
NPI assigned
Sep 27, 2007
Last updated
Nov 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Authorized official

Name
Mrs. Angelica Lee, OFFICE MANAGER
Title
Office Manager
Phone
(256) 539-5339

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X AL4559 AL
Pediatrics Physician 208000000X AL Primary

Addresses

Primary practice location

2006 Franklin St.
Suite 107
Huntsville, AL 35801-4537

Mailing address

2006 Franklin St.
Suite 107
Huntsville, AL 35801-4537
Phone (256) 539-5339

Other identifiers 1

IdentifierTypeStateIssuer
529702470MedicaidAL

Other names 1

  • Over The Rainbow Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

2006 Franklin St SE
Ste 107
Huntsville, AL 35801
Phone (256) 539-5339

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1407043102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST.",
            "address_2": "SUITE 107",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014537",
            "telephone_number": "256-539-5339",
            "fax_number": "256-536-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST.",
            "address_2": "SUITE 107",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014537",
            "telephone_number": "256-539-5339",
            "fax_number": "256-536-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "256-539-5339",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "AL4559",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529702470",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Over The Rainbow Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.