Rainbow Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD00020986 Issued in WA

Legal business name

RAINBOW PEDIATRICS, LLC

Practice address

12317 15TH Ave NE
Suite 103
Seattle, WA 98125-4871

Phone

(206) 957-1881

Fax

(206) 957-1895

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carol A Doroshow, M.D.NPI 1063592368

Title

Owener

Phone

(206) 957-1881

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• The Kids Clinic Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol A Doroshow, M.D.

  • Pediatrics Physician
  • Seattle, WA
  • NPI 1063592368
  NPD (past) Authorized official

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1659554533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12317 15TH AVE NE",
            "address_2": "SUITE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98125",
            "telephone_number": "206-957-1881",
            "fax_number": "206-957-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12317 15TH AVE NE",
            "address_2": "SUITE 103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254871",
            "telephone_number": "206-957-1881",
            "fax_number": "206-957-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "DOROSHOW",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "206-957-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00020986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4215844",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1072255",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "6585DO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA",
            "identifier": "P594301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "A09275",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Kids Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kira Rain, RN
• Jennifer Ann Rainbolt, LMP
• Rainbow Family Medicine, Inc
• Rainbow Natural Health Clinic
• Rainbow Pediatric Occupational Therapy PLLC
• Cathie Jean Raine, R.D.
• Robert P Raines-Hepple, MD
• Danielle Raines
• Sonia Raines, LMP
• Cynthia A Rainey, DPT

• Pediatrics Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.