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PRIDE HEALTH & WELLNESS SOLUTIONS
NPI 1669298873
Nurse Practitioner - Family in Goodyear, AZ

Active since December 03, 2024CLIA 03D2331640 · Waiver
633 S ESTRELLA PKWY STE 3-120, GOODYEAR, AZ 85338(623) 306-7200(855) 576-5012 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2025, Dec 3, 2024 (2 updates tracked since 2024).

About Pride Health & Wellness Solutions NPPES

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

PRIDE HEALTH & WELLNESS SOLUTIONS (NPI 1669298873) is a healthcare organization registered as a family in Goodyear, Arizona and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Marian Ramirez Bautista-de-leon, Provider, as its authorized official.

NPPES Registry Identity

NPI1669298873
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRIDE HEALTH & WELLNESS SOLUTIONS
Location Address633 S ESTRELLA PKWY STE 3-120Goodyear, AZ 85338-9331
Mailing Address633 S Estrella Pkwy Ste 3-120Goodyear, AZ 85338-9331 · (623) 306-7200 · Fax (855) 576-5012
Phone(623) 306-7200
Fax(855) 576-5012
Organization SubpartNo
Authorized OfficialMarian Ramirez Bautista-de-leonProvider · (561) 309-4434
Enumeration DateDecember 3, 2024
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1669298873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
633 S ESTRELLA PKWY STE 3-120, Goodyear, AZ 85338
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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

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 03D2331640

Pride Health & Wellness Solutions, LLC · Goodyear, AZ
Active · expires Oct 5, 2027
CLIA Number03D2331640
Laboratory TypePractitioner Other
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorMarian R. Bautista
Laboratory Phone(623) 306-7200
Laboratory LocationPride Health & Wellness Solutions, LLC633 S Estrella Pkwy Ste 3-120, Goodyear, AZ 85338
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 3

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

EPG PRIMARY CARE PLLC
Family Medicine
633 S ESTRELLA PKWY STE 3-120
GOODYEAR, AZ 85338
Maricopa County (623) 980-3093
EVA JOSEFINA PADILLA GARCIA M.D.
Family Medicine
633 S ESTRELLA PKWY STE 3-120
GOODYEAR, AZ 85338
Maricopa County (602) 633-3848
BD HEALTH & WELLNESS SOLUTIONS LLC
Physical Therapist
633 S ESTRELLA PKWY STE 3-120
GOODYEAR, AZ 85338
Maricopa County (623) 306-7201

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 & Wellness Solutions's NPI number?

The NPI number for Pride Health & Wellness Solutions is 1669298873. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is Pride Health & Wellness Solutions located?

Pride Health & Wellness Solutions is located at 633 S Estrella Pkwy Ste 3-120, Goodyear, AZ 85338. The listed phone number is (623) 306-7200.

What is Pride Health & Wellness Solutions's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Pride Health & Wellness Solutions hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2331640) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pride Health & Wellness Solutions was last updated on May 6, 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.