APN RAINBOW PEDIATRIC SERVICES, PLLC (NPI# 1184825408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184825408 |
| Entity Type | Organization |
| Organization Name | APN RAINBOW PEDIATRIC SERVICES, PLLC |
| Other Organization Name | RAINBOW PEDIATRIC SERVICES, PLLC |
| Practice Address |
5507 Walsh Lane Ste 101 Rogers AR 72758-8941 |
| Practice Telephone | 4794648231 |
| Practice Fax Number | 4794648230 |
| Mailing Telephone | 4794648231 |
| Mailing Fax Number | 4794648230 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2008-09-30 |
| Authorized Official Name | MARILOU SHREVE-DOFFIN (OWNER) |
| Authorized Official Telephone | 4794648231 |
| Authorized Official Credential | APN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | AR | Allopathic & Osteopathic Physicians | |
| Y | 363L00000X | Nurse Practitioner | A01589 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AR BCBS | 5F294 | 01 |
| AR | 155833762 | 05 |
| Other Name | Type Code |
|---|---|
| Rainbow Pediatric Services, PLLC | Doing Business As Name - Organization |
| Street Address |
5507 WALSH LANE STE 101 |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-8941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295089605 | Ozark Regional Vein Center, LLC | Radiology | 5507 Walsh Lane, Suite 101, Rogers, AR 75758-9007 | 2012-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013483700 | Leah Marie Cossey | Nurse Practitioner | 1194 W Walnut St, Rogers, AR 72756-3544 | 2018-10-19 |
| 1134177439 | Mary Ellen Williams | Nurse Practitioner | 1114 Poplar Pl, Rogers, AR 72756-4249 | 2006-05-05 |
| 1396793170 | Mary Ann Salazar | Nurse Practitioner | 1233 West Poplar Street, Rogers, AR 72756 | 2006-05-04 |
| 1134195282 | Kara Lynn Lewis | Nurse Practitioner | 14040 Northdale Blvd Ste 10, Rogers, MN 55374-9612 | 2006-02-28 |
| 1184230286 | Page Augusta Newberry | Nurse Practitioner | 5302 W Village Pkwy Ste 3, Rogers, AR 72758-8139 | 2020-09-23 |
| 1720562945 | Rachel Iwanda Reynolds | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2018-09-24 |
| 1750884821 | Kali Michelle Eddy | Nurse Practitioner | 2100 S 54th St, Rogers, AR 72758 | 2018-03-14 |
| 1821506817 | Megan Denise Webb | Nurse Practitioner | 1001 S Horsebarn Rd, Rogers, AR 72758-8184 | 2018-01-12 |
| 1225546161 | Natalie Mills Krodell | Nurse Practitioner | 2012 S Promenade Blvd, Rogers, AR 72758 | 2018-01-12 |
| 1487175303 | Natale Lanell Yates | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2017-06-30 |
| Find all providers in ROGERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.