Active NPI
Maria Gina Agnir, APRN
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 822083
- Practice address
- 3061 S Maryland Pkwy Ste 101
Las Vegas, NV 89109-6226 - Phone
- (702) 254-5437
- NPI assigned
- Oct 1, 2019
- Last updated
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 822083 | NV | Primary |
Addresses
Primary practice location
3061 S Maryland Pkwy Ste 101
Las Vegas, NV 89109-6226
Mailing address
PO Box 60515
Las Vegas, NV 89160-0515
Other practice location 1
7200 Smoke Ranch Rd Ste 150
Las Vegas, NV 89128-1116
Phone (702) 820-5437
Other practice location 2
1701 N Green Valley Pkwy Ste 10A
Henderson, NV 89074-5991
Phone (702) 766-5437
Other practice location 3
7875 S Rainbow Blvd Ste 102
Las Vegas, NV 89139-6470
Phone (702) 361-5437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 822083 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanjay Kandoth MD PC | Past | Accepting new patients | |
| Sanjay Kandoth MD PC | Past | Accepting new patients |
Interoperability endpoints
- maria.gina.agnir.1@15442.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1073154183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60515",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891600515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3061 S MARYLAND PKWY STE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891096226",
"telephone_number": "702-254-5437"
}
],
"practiceLocations": [
{
"address_1": "7200 Smoke Ranch Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891281116",
"country_code": "US",
"telephone_number": "702-820-5437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 N Green Valley Pkwy Ste 10A",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890745991",
"country_code": "US",
"telephone_number": "702-766-5437",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7875 S Rainbow Blvd Ste 102",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891396470",
"country_code": "US",
"telephone_number": "702-361-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGNIR",
"first_name": "MARIA",
"middle_name": "GINA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-01",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "822083",
"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 Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.