Individual provider Active NPI

Maria Agnes Ancajas Daugherty, FPSS-S

  • Peer Specialist
  • North Las Vegas, NV
National Provider Identifier
1962312546
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
FPSS-SUP-5005 Issued in NV
Practice address
1237 Pavilions Ave
North Las Vegas, NV 89031-2321
Phone
(415) 604-0246
NPI assigned
Sep 8, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X FPSS-SUP-5005 NV Primary

Addresses

Primary practice location

1237 Pavilions Ave
North Las Vegas, NV 89031-2321

Mailing address

1237 Pavilions Ave
North Las Vegas, NV 89031-2321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1962312546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 PAVILIONS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 PAVILIONS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312321",
            "telephone_number": "415-604-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "MARIA AGNES",
        "middle_name": "ANCAJAS",
        "name_prefix": "Mrs.",
        "credential": "FPSS-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NV",
            "license": "FPSS-SUP-5005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.