Phoenix Rising Healthcare
NPI 1093284937 · Primary Care Nurse Practitioner · Fairmont, WV
Phoenix Rising Healthcare is a Primary Care Nurse Practitioner organization in Fairmont, WV (NPI 1093284937).
Provider details
- NPI number
- 1093284937
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Traci Tannehill, Managing Member of LLC(304) 366-0111
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-11-21
- Last updated
- 2020-10-15
- Certified
- 2020-10-15
Frequently asked questions
- What is Phoenix Rising Healthcare's NPI number?
- Phoenix Rising Healthcare's National Provider Identifier (NPI) is 1093284937, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Rising Healthcare?
- Phoenix Rising Healthcare is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Phoenix Rising Healthcare located?
- Phoenix Rising Healthcare's practice location on file with NPPES is 5 Erwin Ln Ste a, Fairmont, WV 26554-1376.
- What is Phoenix Rising Healthcare's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Rising Healthcare is (304) 366-0111.
- Who is the authorized official for Phoenix Rising Healthcare?
- The authorized official listed on Phoenix Rising Healthcare's NPPES record is Traci Tannehill, Managing Member of LLC. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Rising Healthcare's NPI active?
- Yes — Phoenix Rising Healthcare's NPI (1093284937) is active in the NPPES registry as of the last update on 2020-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.