Individual provider Active NPI

Mark Quiamzon, DNP, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1386989978
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN001485 Issued in NV
Practice address
9205 W Russell Rd Ste 240
Las Vegas, NV 89148-1425
Phone
(702) 499-0589
Fax
(702) 442-9898
NPI assigned
Dec 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN001485 NV Primary

Addresses

Primary practice location

9205 W Russell Rd Ste 240
Las Vegas, NV 89148-1425

Mailing address

9205 W Russell Rd Ste 240
Las Vegas, NV 89148-1425
Phone (702) 499-0589

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN001485NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MQ Holdings LLC Family Current Accepting new patients
DMC Medical Clinic LTD PastSince Mar 11, 2025 Accepting new patients

Locations

9205 W Russell Rd
Ste 240
Las Vegas, NV 89148
Phone (702) 430-7801

Interoperability endpoints

  • Direct secure messaging: mark.quiamzon@398008301912068.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1386989978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 W RUSSELL RD STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481425",
            "telephone_number": "702-499-0589",
            "fax_number": "702-442-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 W RUSSELL RD STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481425",
            "telephone_number": "702-499-0589",
            "fax_number": "702-442-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIAMZON",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-07",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001485",
            "primary": true
        }
    ],
    "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 Dec 20, 2017; 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.