Individual provider Active NPI

Maria Gina Agnir, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1073154183
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
822083 Issued in NV
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
822083NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjay Kandoth MD PC PastSince Oct 6, 2019 Accepting new patients
Sanjay Kandoth MD PC PastSince Oct 6, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.