Agave Roots Health Care LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

AGAVE ROOTS HEALTH CARE LLC

Practice address

29755 N Varnum Rd
San Tan Valley, AZ 85143-7007

Phone

(480) 760-5136

NPI assigned

Aug 24, 2026

Last updated

Aug 24, 2026By 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

Mr. Ryan TaylorNPI 1083018923

Title

FNP

Phone

(480) 760-5136

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Ryan William Taylor, F.N.P.

  • Family Nurse Practitioner
  • Florence, AZ
  • NPI 1083018923
  Authorized official Same address or phone

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1669389904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29755 N VARNUM RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851437007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29755 N VARNUM RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851437007",
            "telephone_number": "480-760-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAVE ROOTS HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "480-760-5136",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.