Active NPI
Jennifer Quiamzon-Adobo, APRN
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN001721
- Practice address
- 1000 S Rainbow Blvd
Las Vegas, NV 89145-6231 - Phone
- (702) 259-0088
- Fax
- (702) 259-9533
- NPI assigned
- May 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN001721 | NV | Primary |
Addresses
Primary practice location
1000 S Rainbow Blvd
Las Vegas, NV 89145-6231
Mailing address
6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346
Other practice location 1
9280 W Sunset Rd Ste 426
Las Vegas, NV 89148-4862
Phone (702) 534-5465
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629488226 | Medicaid | NV | |
| APRN001721 | Other | NV | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 S Rainbow Blvd
Suite 240
Las Vegas, NV 89145-6231
Phone (702) 259-0088
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Medical Holdings Nevada Inc | Current | Accepting new patients | |
| Healthcare Partners Medical Group Coats LTD | Family Medicine | Current | Accepting new patients |
| Intermountain Medical Holdings Nevada Inc | Family Medicine | Current | Accepting new patients |
Locations
595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500
6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881
1000 S Rainbow Blvd
Ste 240
Las Vegas, NV 89145
Phone (702) 259-0088
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
9280 W Sunset Rd
Ste 426
Las Vegas, NV 89148
Phone (702) 262-0124
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
Interoperability endpoints
- jenniferquiamzon-adobo@hcpnv.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
Family Medicine
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1487631917
-
- Home Health Agency
- Las Vegas, NV
- NPI 1689882557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1629488226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6355 S BUFFALO DR FL 3",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891132133",
"telephone_number": "702-216-3346",
"fax_number": "702-671-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S RAINBOW BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891456231",
"telephone_number": "702-259-0088",
"fax_number": "702-259-9533"
}
],
"practiceLocations": [
{
"address_1": "9280 W Sunset Rd Ste 426",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891484862",
"country_code": "US",
"telephone_number": "702-534-5465",
"fax_number": "702-891-5080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUIAMZON-ADOBO",
"first_name": "JENNIFER",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN001721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629488226",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "APRN001721",
"state": "NV"
}
],
"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 Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.