Pride Health & Wellness Solutions

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PRIDE HEALTH & WELLNESS SOLUTIONS

Practice address

633 S Estrella Pkwy Ste 3-120
Goodyear, AZ 85338-9331

Phone

(623) 306-7200

Fax

(855) 576-5012

NPI assigned

Dec 3, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Marian Ramirez Bautista-de-Leon, NURSE PRACTITIONER

Title

Provider

Phone

(561) 309-4434

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Marian Ramirez Bautista, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1386179414
  Medicare reassignment NPD

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1669298873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 S ESTRELLA PKWY STE 3-120",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389331",
            "telephone_number": "623-306-7200",
            "fax_number": "855-576-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 S ESTRELLA PKWY STE 3-120",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853389331",
            "telephone_number": "623-306-7200",
            "fax_number": "855-576-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE HEALTH & WELLNESS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA-DE-LEON",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "RAMIREZ",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "561-309-4434",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Presidential Mansioncare, LLC
• Presidential Mansioncare, LLC (Miami House)
• Dorothy Preston, PH.D
• Tristan Savanna Priaulx, DNP, APRN, CPNP-PC
• Jennifer Pribbeno
• Natalie Priest, COTA/ L
• Belen Prieto
• Rachel Prigge, CSA
• Natalie Prill Irvine
• Prime Medical Care PLLC

• Family Nurse Practitioner in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Family Nurse Practitioner in Arizona

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.