NPIMap

Organization Active NPI

Rainbow Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Middlebury, VT
National Provider Identifier
1649216268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
RAINBOW PEDIATRICS
Practice address
44 Collins Dr
Suite 202
Middlebury, VT 05753-8528
Phone
(802) 388-1338
Fax
(802) 388-8244
NPI assigned
Jun 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa Ryan
Title
Office Manager
Phone
(802) 388-1338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X VT Primary

Addresses

Primary practice location

44 Collins Dr
Suite 202
Middlebury, VT 05753-8528

Mailing address

44 Collins Dr
Suite 202
Middlebury, VT 05753-8528
Phone (802) 388-1338

Other identifiers 3

IdentifierTypeStateIssuer
1006825MedicaidVT
39687OtherVTBCVT GROUP NUMBER
1287939OtherVTCIGNA GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

44 Collins Dr
Ste 202
Middlebury, VT 05753
Phone (802) 388-1338

99 Court St
Ste 1
Middlebury, VT 05753
Phone (802) 388-1338

Practitioners & affiliated clinicians

Practitioners 11

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": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649216268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 COLLINS DR",
            "address_2": "SUITE 202",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538528",
            "telephone_number": "802-388-1338",
            "fax_number": "802-388-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 COLLINS DR",
            "address_2": "SUITE 202",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538528",
            "telephone_number": "802-388-1338",
            "fax_number": "802-388-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "802-388-1338"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006825",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCVT GROUP NUMBER",
            "identifier": "39687",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP NUMBER",
            "identifier": "1287939",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.