Las Vegas Functional Health and Wellness

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LAS VEGAS FUNCTIONAL HEALTH AND WELLNESS

Practice address

2580 N Rancho Dr Ste 103
Las Vegas, NV 89130-3361

Phone

(818) 795-7597

NPI assigned

Apr 19, 2025

Last updated

Apr 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcella Berry, APRNNPI 1811722903

Title

President

Phone

(818) 795-7597

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcella Berry, FNP-C

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1811722903
  NPD Authorized official

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

{
    "created_epoch": "1745020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745020800000",
    "number": "1417743980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 N RANCHO DR STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 N RANCHO DR STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303361",
            "telephone_number": "818-795-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS FUNCTIONAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-19",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-795-7597",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Las Vegas Family Home Health LLC
• Las Vegas Family Medicine Inc.
• Las Vegas Family Therapy LLC (Las Vegas Family Therapy Center LLC)
• Las Vegas Family Therapy LLC (Las Vegas Counseling Center)
• Las Vegas Family Wellness LLC
• Las Vegas Gastroenterology Associate LLC
• Las Vegas General Surgery LLC
• Las Vegas Golden Light Hospice LLC
• Las Vegas Group Home at Lake Mead
• Las Vegas Group Home LLC

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.