NPIMap

Organization Active NPI

Rainbow Kids Pediatrics

  • Pediatrics Physician
  • Wake Forest, NC
National Provider Identifier
1740673946
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9901171 Issued in NC
Legal business name
RAINBOW KIDS PEDIATRICS
Practice address
853 Durham Rd
Suite B
Wake Forest, NC 27587-8793
Phone
(919) 435-1099
Fax
(919) 435-1130
NPI assigned
Mar 12, 2015
Last updated
Jun 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Genevieve Sanatra Faison-Alston, MDNPI 1669555769
Title
Medical Doctor
Phone
(919) 435-1099

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 9901171 NC Primary

Addresses

Primary practice location

853 Durham Rd
Suite B
Wake Forest, NC 27587-8793

Mailing address

853 Durham Rd
Suite B
Wake Forest, NC 27587-8793
Phone (919) 435-1099

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1740673946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 DURHAM RD",
            "address_2": "SUITE B",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878793",
            "telephone_number": "919-435-1099",
            "fax_number": "919-435-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 DURHAM RD",
            "address_2": "SUITE B",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878793",
            "telephone_number": "919-435-1099",
            "fax_number": "919-435-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW KIDS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "FAISON-ALSTON",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "SANATRA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "919-435-1099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9901171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.