Active NPI
Edward Drew Sweeten Jr., RN,RT,NHA,MD
- Radiography Radiologic Technologist
- Las Vegas, NV
National Provider Identifier
1316968852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- CRT-3294
- Practice address
- 6521 Elton Ave
Las Vegas, NV 89107-2413 - Phone
- (702) 630-5470
- Fax
- (702) 870-5623
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 16526 | NV | |
| Registered Nurse | 163W00000X | RN-064931 | AZ | |
| Radiography Radiologic Technologist | 2471C3402X | RHF 12519 | CA | |
| Radiography Radiologic Technologist | 2471C3402X | CRT-3294 | AZ | Primary |
| Nursing Home Administrator | 376G00000X | 174 | NV | |
| Nursing Home Administrator | 376G00000X | 384 | NM | |
| Nursing Home Administrator | 376G00000X | 662 | AZ |
Addresses
Primary practice location
6521 Elton Ave
Las Vegas, NV 89107-2413
Mailing address
6521 Elton Ave
Las Vegas, NV 89107-2413
Phone (702) 630-5470
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174 | NV | MD | Optometrist |
| RN-064931 | AZ | MD | Registered Nurse |
| 16526 | NV | MD | Emergency Medical Services (Emergency Medicine) Physician |
| 384 | NM | MD | Occupational Therapist |
| CRT-3294 | AZ | MD | Radiography Radiologic Technologist |
| RHF 12519 | CA | MD | Radiography Radiologic Technologist |
| 662 | AZ | MD | Nursing Home Administrator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1316968852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6521 ELTON AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072413",
"telephone_number": "702-630-5470",
"fax_number": "702-870-5623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6521 ELTON AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891072413",
"telephone_number": "702-630-5470",
"fax_number": "702-870-5623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEETEN",
"first_name": "EDWARD",
"middle_name": "DREW",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "RN,RT,NHA,MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "16526",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN-064931",
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "CA",
"license": "RHF 12519",
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "AZ",
"license": "CRT-3294",
"primary": true
},
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "NV",
"license": "174",
"primary": false
},
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "NM",
"license": "384",
"primary": false
},
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "AZ",
"license": "662",
"primary": false
}
],
"identifiers": [],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.