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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRIDE HEALTH AND WELLNESS
NPI 1346042876
Internal Medicine in Las Vegas, NV

Active since March 25, 2025CLIA 29D2329966 · Waiver
2725 S JONES BLVD STE 109, LAS VEGAS, NV 89146(702) 350-1477(725) 910-0701 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, Jul 8, 2025, Mar 25, 2025 (3 updates tracked since 2025).

About Pride Health And Wellness NPPES

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

PRIDE HEALTH AND WELLNESS (NPI 1346042876) is a healthcare organization registered as an internal medicine in Las Vegas, Nevada and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Tyler Russell, Owner, as its authorized official.

NPPES Registry Identity

NPI1346042876
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIDE HEALTH AND WELLNESS
Location Address2725 S JONES BLVD STE 109Las Vegas, NV 89146-5605
Mailing Address2725 S Jones Blvd Ste 109Las Vegas, NV 89146-5605 · (702) 350-1477 · Fax (725) 910-0701
Phone(702) 350-1477
Fax(725) 910-0701
Organization SubpartNo
Authorized OfficialTyler RussellOwner · (702) 350-1477
Enumeration DateMarch 25, 2025
Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1346042876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2725 S JONES BLVD STE 109, Las Vegas, NV 89146
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2329966

Pride Health And Wellness · Las Vegas, NV
Active · expires Sep 8, 2027
CLIA Number29D2329966
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorTyler E. Russell
Laboratory Phone(702) 350-1477
Laboratory LocationPride Health And Wellness2725 S Jones Blvd, Suite 109, Las Vegas, NV 89146
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

AMOR ANTONIO FLORES APRN, FNP-C
Nurse Practitioner (Family)
2725 S JONES BLVD STE 109
LAS VEGAS, NV 89146
Clark County (702) 509-0825
MICHAEL FLEMINGS
Community/Behavioral Health
2725 S JONES BLVD STE 109
LAS VEGAS, NV 89146
Clark County (702) 758-2992
ALESSANDRA BELLE DOERNTE FNP
Nurse Practitioner
2725 S JONES BLVD STE 109
LAS VEGAS, NV 89146
Clark County (702) 350-1477
PRESTON TILDEN SR.
Community/Behavioral Health
2725 S JONES BLVD STE 109
LAS VEGAS, NV 89146
Clark County (725) 502-3346
THE LEGACY CARES LLC
In Home Supportive Care
2725 S JONES BLVD STE 109
LAS VEGAS, NV 89146
Clark County (725) 205-0575
MELISSA PATRICK
Community/Behavioral Health
2725 S JONES BLVD STE 109
LAS VEGAS, NV 89146
Clark County (702) 758-2992
THE LEGACY HOME HEALTH LLC
Home Health
2725 S JONES BLVD STE 109
LAS VEGAS, NV 89146
Clark County (725) 205-0575
TYLER EDWARD RUSSELL APRN
Nurse Practitioner
2725 S JONES BLVD STE 109
LAS VEGAS, NV 89146
Clark County (702) 350-1477

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 Pride Health And Wellness's NPI number?

The NPI number for Pride Health And Wellness is 1346042876. It was assigned to this organization in the NPPES registry on March 25, 2025.

Where is Pride Health And Wellness located?

Pride Health And Wellness is located at 2725 S Jones Blvd Ste 109, Las Vegas, NV 89146. The listed phone number is (702) 350-1477.

What is Pride Health And Wellness's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Pride Health And Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2329966) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pride Health And Wellness accept?

Health plans from Ambetter from Arizona Complete Health list Pride Health And Wellness as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pride Health And Wellness was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.