OrganizationActive
Agave Therapeutics PLLC
NPI 1215586664 · Health Service Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1215586664
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Janet Olson, Nurse Practitioner(708) 308-0852
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11022 S 51st St Ste 101
Phoenix, AZ 85044-1789
Phone: (708) 308-0852
Fax: (480) 383-6371
Street-level locationGet directions
Mailing address
11022 S 51st St Ste 101
Phoenix, AZ 85044-1789
Other names (DBA / former)
- Doing business as
- Agave Therapeutics
Registry dates
- Enumerated
- 2019-09-09
- Last updated
- 2019-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.