Individual provider Active NPI

Tenin Traore, FNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1073359246
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
02241220 Issued in PA
Practice address
5329 N 12TH St
Philadelphia, PA 19141-2901
Phone
(267) 880-8932
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 02241220 PA Primary

Addresses

Primary practice location

5329 N 12TH St
Philadelphia, PA 19141-2901

Mailing address

5329 N 12TH St
Philadelphia, PA 19141-2901
Phone (267) 880-8932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250110001818 PA Practitioner - Nurse Practitioner 3173051612 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
02241220PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahpaffs,LLC CurrentSince Nov 8, 2024 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Oct 13, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Oct 13, 2025 Accepting new patients
Greater Philadelphia Health Action Inc. Past Accepting new patients

Locations

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

5000 Frankford Ave
Ste D
Philadelphia, PA 19124
Phone (267) 819-1500

1401 S 31st St
Philadelphia, PA 19146
Phone (215) 755-7700

1010 W Lehigh Ave
Philadelphia, PA 19133
Phone (267) 273-7000

5000 Woodland Ave
Philadelphia, PA 19143
Phone (215) 726-9807

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: tenin.traore.p1@direct.gpha.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1073359246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5329 N 12TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412901",
            "telephone_number": "267-880-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5329 N 12TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191412901",
            "telephone_number": "267-880-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAORE",
        "first_name": "TENIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "02241220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.