Individual provider Active NPI

Edward Drew Sweeten Jr., RN,RT,NHA,MD

  • Radiography Radiologic Technologist
  • Las Vegas, NV
National Provider Identifier
1316968852
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
CRT-3294 Issued in AZ
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
174NVMDOptometrist
RN-064931AZMDRegistered Nurse
16526NVMDEmergency Medical Services (Emergency Medicine) Physician
384NMMDOccupational Therapist
CRT-3294AZMDRadiography Radiologic Technologist
RHF 12519CAMDRadiography Radiologic Technologist
662AZMDNursing 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.

Verify at the official NPI Registry.