Jeanene Traynor, CWNP

Primary specialty

Religious Nonmedical Nursing PersonnelTaxonomy code 374T00000X

License

RN044212 Issued in AZ

Practice address

3660 W Bethany Home Rd
Suite a
Phoenix, AZ 85019-1953

Phone

(602) 973-3200

Fax

(602) 973-0508

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jeanene Traynor-Wilson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477660892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 W BETHANY HOME RD",
            "address_2": "SUITE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850191953",
            "telephone_number": "602-973-3200",
            "fax_number": "602-973-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 W BETHANY HOME RD",
            "address_2": "SUITE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850191953",
            "telephone_number": "602-973-3200",
            "fax_number": "602-973-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYNOR",
        "first_name": "JEANENE",
        "credential": "CWNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": "AZ",
            "license": "RN044212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN044212",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANENE",
            "last_name": "TRAYNOR-WILSON",
            "credential": "CWNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carrie Travale
• Traveler Advocate, LLC
• Travis C Holcombe MD PC
• Lori H Travis, MD
• Matthew A Traylor, PHARM D
• Treadstone Anesthesia PLLC
• Shelby Treadwell, RBT
• Treat-ADHD.Com, PLLC
• Treatment Assessment Screening Center, Inc
• Treatment Assessment Screening Center, Inc

• Religious Nonmedical Nursing Personnel in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Religious Nonmedical Nursing Personnel in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.