The Blooming Path LLC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

THE BLOOMING PATH LLC

Doing business as

The Blooming Path

Practice address

1229 Pavilions Ave
North Las Vegas, NV 89031-2321

Phone

(702) 483-1230

NPI assigned

May 21, 2025

Organization subpart

No

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

Authorized official

Name

Aniedra Wells, CPRS, CHW-IINPI 1356130116

Title

Founder & Managing Member

Phone

(702) 670-8900

Specialties & licenses 2

Addresses

Other names 1

• The Blooming Path Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aniedra Geraldine Wells, CPRSS, CHW-I

  • Peer Specialist
  • North Las Vegas, NV
  • NPI 1356130116

  Community Health Worker

  NPD Authorized official

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1013709351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 CAMINO AL NORTE # 2-261",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310805",
            "telephone_number": "702-483-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 PAVILIONS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312321",
            "telephone_number": "702-483-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BLOOMING PATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "ANIEDRA",
        "authorized_official_title_or_position": "FOUNDER & MANAGING MEMBER",
        "authorized_official_telephone_number": "702-670-8900",
        "authorized_official_credential": "CPRS, CHW-II"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Blooming Path",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Peer Specialist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Peer Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.