Individual provider Active NPI

Haileyesus Agajhe

  • Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1225913767
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001301050 Issued in VA
Practice address
7446 Wagonwheel Ranch Way
Las Vegas, NV 89113-3086
Phone
(702) 971-4083
NPI assigned
Aug 6, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001301050 VA Primary

Addresses

Primary practice location

7446 Wagonwheel Ranch Way
Las Vegas, NV 89113-3086

Mailing address

7446 Wagonwheel Ranch Way
Las Vegas, NV 89113-3086
Phone (702) 971-4083

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
0001301050VAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1225913767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7446 WAGONWHEEL RANCH WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133086",
            "telephone_number": "702-971-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7446 WAGONWHEEL RANCH WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133086",
            "telephone_number": "702-971-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAJHE",
        "first_name": "HAILEYESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001301050",
            "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 Aug 6, 2025; 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.