PHOENIX RISING TELEPSYCH NPI 1144069790

NPI Information

  • NPI: 1144069790
  • Provider Name: PHOENIX RISING TELEPSYCH
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 6917 TOMAHAWK RD
    PRAIRIE VILLAGE, KS
    ZIP 66208
  • Phone: (913) 398-2530

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NPI Details

PHOENIX RISING TELEPSYCH is a psychiatric/mental health nurse practitioner in Prairie Village, KS. PHOENIX RISING TELEPSYCH NPI is 1144069790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6917 TOMAHAWK RD
PRAIRIE VILLAGE, KS
ZIP 66208-618
Phone: (913) 398-2530

The provider's authorized official is Jaclyn Mcintyre .
The authorized official title is Owner and has the following contact phone number (913) 398-2530.

The enumeration date for this NPI number is 5/22/2024 and was last updated on 10/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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