Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dallas R Andrade

Individual provider Nurse Practitioner · NPI 1679247480

Dallas R Andrade is a Nurse Practitioner in Kailua Kona, Hawaii. Qualified in 2021, 5 years ago. Practices with Clinic of Internal Medicine LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
5
Licensed in
HI
In the registry since
2021

Practice location Address checks out

75-184 Hualalai Rd Ste 202
Kailua Kona, HI 96740-1719
Phone: (808) 329-8251
Fax: (808) 334-0130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3269 (HI)

Record details

NPI number1679247480
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2021
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Clinic Of Internal Medicine Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kailua Kona