Individual provider Active NPI

Dorothy May Desierto Agdamag, APRN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1780195446
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN002721 Issued in NV
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

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
V70325OtherNVMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180102000167 NV Practitioner - Nurse Practitioner 0840558524 Reassigns benefits to 3 organizations

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
Centerwell Senior Primary Care NV P CGroup PAC ID 5092132340, 71 clinicians

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

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NV) PC CurrentSince Oct 4, 2021 Accepting new patients
Centerwell Senior Primary Care (NV) PC CurrentSince Oct 4, 2021 Accepting new patients
Vegas Valley Primary Care CurrentSince Sep 17, 2018 Accepting new patients
Carelink Medical Group of Nevada LLC PastSince Dec 1, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.