Agricola Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

AGRICOLA HEALTH LLC

Practice address

10450 N 74TH St Ste 160
Scottsdale, AZ 85258-1051

Phone

(404) 697-7506

NPI assigned

Nov 29, 2021

Last updated

Nov 29, 2021By 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

Dwayne Barrow

Title

Owner

Phone

(404) 697-7506

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1639836463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 N 74TH ST STE 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 N 74TH ST STE 160",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581051",
            "telephone_number": "404-697-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGRICOLA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-697-7506"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agave Care Home of Scottsdale LLC
• Agave Hematology Oncology Clinics PLLC (Integrated Oncology Network PLLC)
• Ageless Secret
• Abhash Aggarwal
• Mayank Aggarwal, M.D.
• Nicholas Aguanno, CRNA
• Emma Aguas, LMSW
• Rodolfo Antonio Aguilar, PMHNP-BC
• Serena Aguilar
• Ryanne Agustin, PTA

• Psychiatric/Mental Health Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.