Organization Active NPI

Comprehensive Family Wellness PLLC

  • Family Nurse Practitioner
  • Sparks, NV
National Provider Identifier
1609523570
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
COMPREHENSIVE FAMILY WELLNESS PLLC
Practice address
2321 Pyramid Way
Sparks, NV 89431-8716
Phone
(325) 500-5593
Fax
(775) 391-3239
NPI assigned
Mar 9, 2022
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Mr. Armando Lee Cruz, MSN, FNP, NP-CNPI 1831473800
Title
Owner
Phone
(325) 500-5593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

2321 Pyramid Way
Sparks, NV 89431-8716

Mailing address

2321 Pyramid Way
Sparks, NV 89431-8716
Phone (325) 500-5593

Other identifiers 1

IdentifierTypeStateIssuer
250014351OtherNVMEDICAID

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL compfamwellnessnv.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220404002821 NV Part B Supplier - Clinic/Group Practice 0446646269 Receives reassigned benefits from 1 practitioner
Practice locations: Sparks, NV

National Provider Directory

National Provider Directory

Locations

2321 Pyramid Way
Ste B
Sparks, NV 89431
Phone (775) 331-1919

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1609523570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 PYRAMID WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318716",
            "telephone_number": "325-500-5593",
            "fax_number": "775-391-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 PYRAMID WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318716",
            "telephone_number": "325-500-5593",
            "fax_number": "775-391-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FAMILY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-500-5593",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSN, FNP, NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "250014351",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "compfamwellnessnv.com",
            "affiliation": "N",
            "endpointDescription": "practice website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "practice website",
            "address_1": "2321 Pyramid Way",
            "city": "Sparks",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894318716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.