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RYAN BLAKE PRIDEMORE LAT, ATC
NPI 1033895602
Specialist/Technologist - Athletic Trainer in Las Cruces, NM

Active since June 27, 2023
5700 MESA GRANDE DR, LAS CRUCES, NM 88011(423) 312-1031 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Blake Pridemore Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN BLAKE PRIDEMORE LAT, ATC (NPI 1033895602) is an individual athletic trainer provider in Las Cruces, New Mexico, licensed in New Mexico (AT-2024-0006) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1033895602
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameRYAN BLAKE PRIDEMORECredential: LAT, ATC
Location Address5700 MESA GRANDE DRLas Cruces, NM 88011-6017
Mailing Address3402 Bixler Dr Apt 2202Las Cruces, NM 88012-5114 · (423) 312-1031
Phone(423) 312-1031
Sole ProprietorNo
Enumeration DateJune 27, 2023
Last NPPES UpdateJune 10, 2025
NPPES CertifiedJune 10, 2025
✔ NPI 1033895602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Licenses✔ Licensed in NM · AT-2024-0006✔ Licensed in TX · AT9424
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
5700 MESA GRANDE DR, Las Cruces, NM 88011
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LA CLINICA DE FAMILIA, INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
5700 MESA GRANDE DR
LAS CRUCES, NM 88011
Doña Ana County (575) 526-1105
LA CLINICA DE FAMILIA, INCORPORATED
Community/Behavioral Health
5700 MESA GRANDE DR
LAS CRUCES, NM 88011
Doña Ana County (575) 459-1785
JAMES LE ROY SCHAPEKAHM A.T.C., LAT
Specialist/Technologist (Athletic Trainer)
5700 MESA GRANDE DR
LAS CRUCES, NM 88011
Doña Ana County (505) 527-9430
EDAN LUSCHEI RN
Registered Nurse (School)
5700 MESA GRANDE DR
LAS CRUCES, NM 88011
Doña Ana County (575) 527-9430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Pridemore's NPI number?

The NPI number for Ryan Pridemore is 1033895602. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Ryan Pridemore located?

Ryan Pridemore practices at 5700 Mesa Grande Dr, Las Cruces, NM 88011. The listed phone number is (423) 312-1031.

What is Ryan Pridemore's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Ryan Pridemore was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.