Active NPI
Agnes Galvez, MS, RD
- Renal Nutrition Registered Dietitian
- Las Vegas, NV
National Provider Identifier
1821398280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 32884DI-2
- Practice address
- 2545 S Bruce St Ste 200
Las Vegas, NV 89169-1778 - Phone
- (702) 732-2438
- Fax
- (702) 733-7876
- NPI assigned
- Nov 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Renal Nutrition Registered Dietitian | 133VN1005X | 32884DI-2 | NV | Primary |
Addresses
Primary practice location
2545 S Bruce St Ste 200
Las Vegas, NV 89169-1778
Mailing address
3333 E Camelback Rd
Ste 180
Phoenix, AZ 85018-2396
Phone (602) 997-0484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821398280 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32884DI-2 | NV | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1821398280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 E CAMELBACK RD",
"address_2": "STE 180",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182396",
"telephone_number": "602-997-0484",
"fax_number": "602-224-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 S BRUCE ST STE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891691778",
"telephone_number": "702-732-2438",
"fax_number": "702-733-7876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVEZ",
"first_name": "AGNES",
"name_prefix": "Miss",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "NV",
"license": "32884DI-2",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821398280",
"state": "NV"
}
],
"endpoints": [],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.