Active NPI
Jerideau Family Health and Wellness PLLC
- Primary Care Clinic/Center
- Las Vegas, NV
National Provider Identifier
1760391015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- JERIDEAU FAMILY HEALTH AND WELLNESS PLLC
- Practice address
- 800 N Rainbow Blvd Ste 208
Las Vegas, NV 89107-1193 - Phone
- (214) 516-4681
- NPI assigned
- Sep 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Jerideau
- Title
- Ceo
- Phone
- (214) 516-4681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
800 N Rainbow Blvd Ste 208
Las Vegas, NV 89107-1193
Mailing address
800 N Rainbow Blvd Ste 208
Las Vegas, NV 89107-1193
Phone (214) 516-4681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788393600000",
"number": "1760391015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N RAINBOW BLVD STE 208",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071193",
"telephone_number": "214-516-4681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N RAINBOW BLVD STE 208",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071193",
"telephone_number": "214-516-4681"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERIDEAU FAMILY HEALTH AND WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A",
"authorized_official_last_name": "JERIDEAU",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-516-4681"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.