AGAVE ROOTS HEALTH CARE LLC
NPI 1669389904
Nurse Practitioner - Family in San Tan Valley, AZ
About Agave Roots Health Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGAVE ROOTS HEALTH CARE LLC (NPI 1669389904) is a healthcare organization registered as a family in San Tan Valley, Arizona and active in the NPI registry since August 2026. The organization lists Ryan Taylor, Fnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Agave Roots Health Care LLC's NPI number?
The NPI number for Agave Roots Health Care LLC is 1669389904. It was assigned to this organization in the NPPES registry on August 24, 2026.
Where is Agave Roots Health Care LLC located?
Agave Roots Health Care LLC is located at 29755 N Varnum Rd, San Tan Valley, AZ 85143. The listed phone number is (480) 760-5136.
What is Agave Roots Health Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Agave Roots Health Care LLC was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Agave Roots Health Care Llc · NPI 1669389904
Family organization in San Tan Valley, Arizona. Organization record, active in the CMS NPPES registry since August 24, 2026.
## Identity
- **NPI:** 1669389904 (Entity type: Organization)
- **Enumerated:** August 24, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Ryan Taylor, FNP
## Practice location
- **Address:** 29755 N VARNUM RD, San Tan Valley, AZ 85143-7007
- **Phone:** (480) 760-5136
## Record status
- **NPPES last updated:** August 24, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1669389904) · Data from the CMS NPPES public registry.