Phoenix Holistic & Nutritional Center
NPI 1104782689 · Health & Wellness Coach · Ipava, IL
Phoenix Holistic & Nutritional Center is a Health & Wellness Coach organization in Ipava, IL (NPI 1104782689).
Provider details
- NPI number
- 1104782689
- Entity type
- Organization
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Organization subpart
- No
- Authorized official
- Tonya Davis, Owner(331) 264-0736
Specialties & taxonomies
Other Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
- Reflexologist173C00000X
Other Service Providers
- Peer Specialist175T00000X
Other Service Providers
- Dance Therapist225600000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Home Delivered Meals332U00000X
Suppliers
- Doula374J00000X
Nursing Service Related Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2025-12-29
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Frequently asked questions
- What is Phoenix Holistic & Nutritional Center's NPI number?
- Phoenix Holistic & Nutritional Center's National Provider Identifier (NPI) is 1104782689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Holistic & Nutritional Center?
- Phoenix Holistic & Nutritional Center is classified in the NPPES registry as Health & Wellness Coach (Other Service Providers).
- Where is Phoenix Holistic & Nutritional Center located?
- Phoenix Holistic & Nutritional Center's practice location on file with NPPES is 10 N Orchard St, Ipava, IL 61441-5289.
- What is Phoenix Holistic & Nutritional Center's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Holistic & Nutritional Center is (309) 204-5133.
- Who is the authorized official for Phoenix Holistic & Nutritional Center?
- The authorized official listed on Phoenix Holistic & Nutritional Center's NPPES record is Tonya Davis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Holistic & Nutritional Center's NPI active?
- Yes — Phoenix Holistic & Nutritional Center's NPI (1104782689) is active in the NPPES registry as of the last update on 2025-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.