Havasu Rainbow Pediatrics and Associates PLLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

HAVASU RAINBOW PEDIATRICS AND ASSOCIATES PLLC

Practice address

150 Riviera Dr
Lake Havasu City, AZ 86403-5735

Phone

(928) 540-5437

Fax

(928) 540-5438

NPI assigned

Aug 14, 2026

Organization subpart

No

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

Authorized official

Name

Mary Renee Golden, DNP

Title

Member Manager

Phone

(317) 414-5202

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1528973534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RIVIERA DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035735",
            "telephone_number": "928-540-5437",
            "fax_number": "928-540-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVIERA DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035735",
            "telephone_number": "928-540-5437",
            "fax_number": "928-540-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVASU RAINBOW PEDIATRICS AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "317-414-5202",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Havasu Neurological Center PLLC
• Havasu Nursing Center 2 Inc
• Havasu Physical Therapy
• Havasu Primary Care, LTD.
• Havasu Rainbow Pediatrics
• Havasu Regional Medical Center LLC
• Havasu Regional Medical Center LLC
• Havasu Regional Medical Center LLC
• Havasu Regional Medical Center LLC
• Havasu Regional Medical Center LLC

• Pediatric Nurse Practitioner in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Pediatric Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.