Agave Family Medicine & Breast Feeding Support Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AGAVE FAMILY MEDICINE & BREAST FEEDING SUPPORT CENTER LLC

Practice address

1925 W Orange Grove Rd Ste 201
Tucson, AZ 85704-1151

Phone

(520) 372-2167

NPI assigned

Jul 6, 2022

Last updated

Sep 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary C Harrel, MDNPI 1487882049

Title

Director

Phone

(602) 999-4659

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 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Catherine Harrel, MD

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1487882049
  Medicare reassignment Care Compare group NPD Authorized official
• Sameer Suhale, MD

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1770103137
  Medicare reassignment Care Compare group
• Dan Carter, FNPC

  • Nurse Practitioner
  • Marana, AZ
  • NPI 1639824642
  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1265165484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 W ORANGE GROVE RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041151",
            "telephone_number": "520-372-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W ORANGE GROVE RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041151",
            "telephone_number": "520-372-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAVE FAMILY MEDICINE & BREAST FEEDING SUPPORT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "HARREL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-999-4659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Afshar, D.O
• Agape Hospice & Palliative Care, LLC
• Agape Palliative Care, LLC
• Deepa Agarwal, MD
• Agave Family Medicine
• Agave Mental Wellness Institute
• Agave Surgical Associates PC
• Amanda Maryam Agbannawag, DPT
• Agc Plus (Forte PLLC)
• Jordan Agee, LMT

• Family Medicine Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.