Aniedra Geraldine Wells, CPRSS, CHW-I

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

PRSS-5315 Issued in NV

Practice address

1229 Pavilions Ave
North Las Vegas, NV 89031-2321

Phone

(702) 670-8900

NPI assigned

May 6, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Blooming Path LLC

  • Peer Specialist
  • North Las Vegas, NV
  • NPI 1013709351

  Community Health Worker

  NPD Authorized official

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1356130116",
    "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": "702-670-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "ANIEDRA",
        "middle_name": "GERALDINE",
        "credential": "CPRSS, CHW-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "CHW1-6112",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NV",
            "license": "PRSS-5315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Well Adjusted Chiropractic
• Well Being Care Services
• Well Care Medical Group of North Las Vegas Incorporated
• Wellness Dream Clinic
• Wellness Within
• Natalie Ray Wells, L.C.S.W.
• Otis Wells
• Sie'Yara Jemiscoe Wells
• Sonya Edyth Michelle Wells
• Wellspring Theraphy

• 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 6, 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.