Individual provider Active NPI

Yve Quiamzon

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1639945074
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
827598 Issued in NV
Practice address
9550 S Eastern Ave Ste 253
Las Vegas, NV 89123-8042
Phone
(888) 803-3370
NPI assigned
Nov 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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 827598 NV Primary

Addresses

Primary practice location

9550 S Eastern Ave Ste 253
Las Vegas, NV 89123-8042

Mailing address

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

Other practice location 1

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
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207002150 NV Practitioner - Nurse Practitioner 0648613596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roberto C Chuapoco MD a Professional CorporationGroup PAC ID 3375649940, 4 clinicians

Practice addresses (Care Compare)

3211 W Charleston Blvd
Las Vegas, NV 89102-1953
Phone (702) 968-2425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto C Chuapoco MD a Professional Corporation CurrentSince Jan 1, 2024 Accepting new patients

Locations

3211 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 444-7796

7500 W Lake Mead Blvd
#9171
Las Vegas, NV 89128

Organizations & group practices 1

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": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1639945074",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 S EASTERN AVE STE 253",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891238042",
            "telephone_number": "888-803-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9205 W Russell Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891481425",
            "country_code": "US",
            "telephone_number": "702-499-0589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIAMZON",
        "first_name": "YVE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "827598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.