Betty Ann Andrade-Kennedy, LPN

Key facts

NPI

1699724344

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

LPN11745 (NV)

Practice address

9353 Dancing Daffodil Ave
Las Vegas, NV 89129-6988

Phone

(702) 360-0589

Fax

(302) 380-0589

NPI assigned

May 9, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699724344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N NELLIS BLVD",
            "address_2": "#168",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105304",
            "telephone_number": "702-354-6635",
            "fax_number": "302-380-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9353 DANCING DAFFODIL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296988",
            "telephone_number": "702-360-0589",
            "fax_number": "302-380-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE-KENNEDY",
        "first_name": "BETTY",
        "middle_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "LPN11745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Las Vegas, NV · Licensed Practical Nurse in Nevada