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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

RAINBOW PEDIATRIC PC
NPI 1255474300
Clinic/Center - Rural Health in Humboldt, TN

Active since February 15, 2007CLIA 44D1064076 · Waiver
3535 CHERE CAROL RD, HUMBOLDT, TN 38343(731) 784-7833(731) 337-7000 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Aug 29, 2017 (2 updates tracked since 2017).

About Rainbow Pediatric Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAINBOW PEDIATRIC PC (NPI 1255474300) is a healthcare organization registered as a rural health in Humboldt, Tennessee and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through January 28, 2027, maintains a secondary practice location in Humboldt, and lists Gina M Dieudonne, Owner, as its authorized official.

NPPES Registry Identity

NPI1255474300
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameRAINBOW PEDIATRIC PC
Location Address3535 CHERE CAROL RDHumboldt, TN 38343-3634
Mailing Address1636 E Main StreetHumboldt, TN 38343 · (731) 784-7833 · Fax (731) 784-7856
Phone(731) 784-7833
Fax(731) 337-7000
Organization SubpartNo
Authorized OfficialGina M DieudonneOwner · (731) 784-7833
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1255474300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPediatricsTaxonomy 208000000X · License 41750 (TN)
3535 CHERE CAROL RD, Humboldt, TN 38343
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Secondary Practice Location 1

Location 11636 E Main StHumboldt, TN 38343-2904 · Phone (731) 784-7833 · Fax (731) 660-8739

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1064076

Rainbow Pediatrics PC · Humboldt, TN
Active · expires Jan 28, 2027
CLIA Number44D1064076
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorGina Dieudonne MD
Laboratory Phone(731) 784-7833
Laboratory LocationRainbow Pediatrics PC3535 Chere Carol Road, Humboldt, TN 38343
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEAGAN WHITBY
Nurse Practitioner (Pediatrics)
3535 CHERE CAROL RD
HUMBOLDT, TN 38343
Gibson County (731) 784-7833
JACQUELINE MARIE SCOTT
Nurse Practitioner (Family)
3535 CHERE CAROL RD
HUMBOLDT, TN 38343
Gibson County (731) 513-5701
RICHARD LOUIS MURPHY SR. MD
Family Medicine
3535 CHERE CAROL RD
HUMBOLDT, TN 38343
Gibson County (731) 784-5542
PURIHIN CLINIC-P. C.
Internal Medicine (Geriatric Medicine)
3535 CHERE CAROL RD
HUMBOLDT, TN 38343
Gibson County (731) 784-3323

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rainbow Pediatric PC's NPI number?

The NPI number for Rainbow Pediatric PC is 1255474300. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Rainbow Pediatric PC located?

Rainbow Pediatric PC is located at 3535 Chere Carol Rd, Humboldt, TN 38343. The listed phone number is (731) 784-7833.

What is Rainbow Pediatric PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Rainbow Pediatric PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1064076) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rainbow Pediatric PC accept?

Health plans from BlueCross BlueShield of Tennessee list Rainbow Pediatric PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rainbow Pediatric PC was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.