NPIMap

Organization Active NPI

Rainbow Enterprise PLC

  • Pediatrics Physician
  • Clarksville, TN
National Provider Identifier
1609123884
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
27382 Issued in TN
Legal business name
RAINBOW ENTERPRISE PLC
Practice address
111 Otis Smith Dr
Clarksville, TN 37043-8940
Phone
(931) 553-6666
Fax
(931) 553-4006
NPI assigned
Aug 7, 2012
Last updated
Aug 7, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Satish Prabhu, MDNPI 1295732436
Title
Owner
Phone
(931) 553-6666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 27382 TN Primary

Addresses

Primary practice location

111 Otis Smith Dr
Clarksville, TN 37043-8940

Mailing address

111 Otis Smith Dr
Clarksville, TN 37043-8940
Phone (931) 553-6666

National Provider Directory

National Provider Directory

Locations

111 Otis Smith Dr
Clarksville, TN 37043
Phone (931) 553-6666

Practitioners & affiliated clinicians

Practitioners 6

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": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1609123884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OTIS SMITH DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438940",
            "telephone_number": "931-553-6666",
            "fax_number": "931-553-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OTIS SMITH DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438940",
            "telephone_number": "931-553-6666",
            "fax_number": "931-553-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW ENTERPRISE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "PRABHU",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-553-6666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "27382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.