Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANDREA KAY SOETANTO
NPI 1881520419
Registered Nurse in Las Vegas, NV

Q: What is Andrea Soetanto's NPI number?

The NPI number for Andrea Soetanto is 1881520419. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Q: What is Andrea Soetanto's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Soetanto was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2026

2880 N TENAYA WAY STE 420, LAS VEGAS, NV 89128(702) 255-2022(702) 255-8810 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Andrea Kay Soetanto NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA KAY SOETANTO (NPI 1881520419) is an individual registered nurse in Las Vegas, Nevada, licensed in Nevada (820745) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1881520419

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameANDREA KAY SOETANTO

Location Address2880 N TENAYA WAY STE 420Las Vegas, NV 89128-0642

Mailing AddressPo Box 450709Westlake, OH 44145-0614 · (702) 330-3102 · Fax (702) 912-4994

Phone(702) 255-2022

Fax(702) 255-8810

Sole ProprietorNo

Enumeration DateJune 22, 2026

NPPES CertifiedJune 22, 2026

✔ NPI 1881520419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in NV · 820745

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

2880 N TENAYA WAY STE 420, Las Vegas, NV 89128

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