LAS VEGAS FUNCTIONAL HEALTH AND WELLNESS
NPI 1417743980
Nurse Practitioner in Las Vegas, NV

Q: What is Las Vegas Functional Health And Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since April 19, 2025

2580 N RANCHO DR STE 103, LAS VEGAS, NV 89130(818) 795-7597 Get Directions Write a Review

NPPES record last updated: April 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Las Vegas Functional Health And Wellness NPPES

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

LAS VEGAS FUNCTIONAL HEALTH AND WELLNESS (NPI 1417743980) is a healthcare organization registered as a nurse practitioner in Las Vegas, Nevada and active in the NPI registry since April 2025. The organization lists Marcella Berry, President, as its authorized official.

NPPES Registry Identity

NPI1417743980

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameLAS VEGAS FUNCTIONAL HEALTH AND WELLNESS

Location Address2580 N RANCHO DR STE 103Las Vegas, NV 89130-3361

Mailing Address2580 N Rancho Dr Ste 103Las Vegas, NV 89130-3361

Phone(818) 795-7597

Organization SubpartNo

Authorized OfficialMarcella BerryPresident · (818) 795-7597

Enumeration DateApril 19, 2025

NPPES CertifiedApril 18, 2025

✔ NPI 1417743980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2580 N RANCHO DR STE 103, Las Vegas, NV 89130

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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

Other Providers at the Same Location NPPES 3

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

CARE WITH PURPOSE MEDICAL CENTER, LLC

General Practice

2580 N RANCHO DR STE 103
LAS VEGAS, NV 89130

Clark County (818) 481-3571

MRS. SHENAKWA HAWKINS APRN, RN

Nurse Practitioner

2580 N RANCHO DR STE 103
LAS VEGAS, NV 89130

Clark County (725) 780-7880

MARCELLA BERRY FNP-C

Nurse Practitioner

2580 N RANCHO DR STE 103
LAS VEGAS, NV 89130

Clark County (725) 780-7880

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 Las Vegas Functional Health And Wellness's NPI number?

The NPI number for Las Vegas Functional Health And Wellness is 1417743980. It was assigned to this organization in the NPPES registry on April 19, 2025.

Where is Las Vegas Functional Health And Wellness located?

Las Vegas Functional Health And Wellness is located at 2580 N Rancho Dr Ste 103, Las Vegas, NV 89130. The listed phone number is (818) 795-7597.

What is Las Vegas Functional Health And Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Las Vegas Functional Health And Wellness was last updated on April 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.