Lisa Andrade, RN
Individual provider Active NPI Home Health Registered Nurse · Las Vegas, NV
NPI 1245043371 · NPPES record last updated Jan 31, 2025
Key facts
- NPI
- 1245043371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 815464 (NV)
- Practice address
- 4423 W Flamingo Rd
Las Vegas, NV 89103-3703 - Phone
- (702) 458-1137
- Fax
- (702) 458-1423
- NPI assigned
- Jan 31, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 815464 | NV | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nursecore Management Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 815464 | NV | Yes |
Addresses
Primary practice location
4423 W Flamingo Rd
Las Vegas, NV 89103-3703
Mailing address
4423 W Flamingo Rd
Las Vegas, NV 89103-3703
Phone (702) 458-1137
Other providers in Las Vegas, NV
- Jeremy Andrade
- Jose Andrade
- Jousha Luis Andrade
- Kathleen Ann Andrade
- Lauren Andrade
- Maybeth Andrade
- Natalie Marie Andrade
- Sandra Elizabeth Andrade
- Stephanie Andrade
- Tyler Ross Andrade
All providers in Las Vegas, NV · Home Health Registered Nurse in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.