Active NPI
Dorothy May Desierto Agdamag, APRN
- Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN002721
- Practice address
- 4919 W Craig Rd
Las Vegas, NV 89130-2730 - Phone
- (725) 220-8706
- Fax
- (833) 749-0366
- NPI assigned
- Oct 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN002721 | NV | Primary |
Addresses
Primary practice location
4919 W Craig Rd
Las Vegas, NV 89130-2730
Mailing address
6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000
Other practice location 1
3129 N Rainbow Blvd
Las Vegas, NV 89108-4578
Phone (725) 220-8457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V70325 | Other | NV | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dorothy.agdamag.1@29601.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3129 N Rainbow Blvd
Las Vegas, NV 89108-4578
Phone 72522084574578
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care (NV) PC | Current | Accepting new patients | |
| Centerwell Senior Primary Care (NV) PC | Current | Accepting new patients | |
| Vegas Valley Primary Care | Current | Accepting new patients | |
| Carelink Medical Group of Nevada LLC | Past | Accepting new patients |
Locations
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
390 W Lake Mead Pkwy
Ste 120
Henderson, NV 89015
Phone (725) 220-8477
3021 W Horizon Ridge Pkwy
Henderson, NV 89052
Phone (702) 646-5000
4001 S Decatur Blvd
Ste 25
Las Vegas, NV 89103
Phone (725) 224-6967
4517 Blue Diamond Rd
Las Vegas, NV 89139
Phone (725) 258-2982
2875 S Nellis Blvd
Ste 3
Las Vegas, NV 89121
Phone (702) 843-2420
4919 W Craig Rd
Las Vegas, NV 89130
Phone (725) 220-8706
6360 Boulder Hwy
Las Vegas, NV 89122
Phone (725) 228-4500
4469 W Charleston Blvd
Las Vegas, NV 89102
Phone (203) 769-9243
6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964
1766 E Charleston Blvd
Las Vegas, NV 89104
Phone (702) 843-2440
915 S Rainbow Blvd
Las Vegas, NV 89145
Phone (725) 220-8667
3265 E Tropicana Ave
Ste B
Las Vegas, NV 89121
Phone (702) 832-4560
80 S Martin Luther King Blvd
#100
Las Vegas, NV 89106
Phone (725) 228-4500
4813 S Eastern Ave
Las Vegas, NV 89119
Phone (725) 231-9260
3129 N Rainbow Blvd
Las Vegas, NV 89108
Phone (725) 220-8457
2381 E Windmill Ln
Ste 14
Las Vegas, NV 89123
Phone (702) 344-2936
10180 W Tropicana Ave
Ste 136
Las Vegas, NV 89147
Phone (702) 848-3554
2601 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 233-4950
2335 E Lake Mead Blvd
North Las Vegas, NV 89030
Phone (702) 577-1910
Interoperability endpoints
- dorothy.agdamag@centerwell.eclinicaldirectplus.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Registered Nurse
- Las Vegas, NV
- NPI 1578921219
NV
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1043926777
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1053029488
-
- Clinic/Center
- Las Vegas, NV
- NPI 1780001347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1780195446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6101 BLUE LAGOON DR STE 200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263168",
"telephone_number": "305-500-2000",
"fax_number": "843-277-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4919 W CRAIG RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891302730",
"telephone_number": "725-220-8706",
"fax_number": "833-749-0366"
}
],
"practiceLocations": [
{
"address_1": "3129 N Rainbow Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891084578",
"country_code": "US",
"telephone_number": "725-220-8457",
"fax_number": "833-749-0355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGDAMAG",
"first_name": "DOROTHY MAY",
"middle_name": "DESIERTO",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-20",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NV",
"license": "APRN002721",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "V70325",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dorothy.agdamag.1@29601.direct.athenahealth.com",
"affiliation": "N",
"address_1": "4919 W Craig Rd",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891302730",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.