KELLY GENTRY (NPI# 1285008235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285008235 |
| Entity Type | Individual |
| Full Name | KELLY GENTRY |
| Credential | AGNP |
| Practice Address |
568 Ruin Creek Rd Suite 003 Henderson NC 27536-2880 |
| Mailing Address |
120 Charles Rollins Rd Suite 206 Henderson NC 27536-2882 |
| Practice Telephone | 2524366384 |
| Practice Fax Number | 2524366382 |
| Mailing Telephone | 2524361680 |
| Mailing Fax Number | 2524366480 |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
5008159 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306372370 | Kelly M Gentry | Counselor | 349 Franklin Ave Ste 206, Nutley, NJ 07110-1645 | 2017-05-11 |
| 1548582588 | Kelly K Gentry | Nurse Practitioner | 1029 W Main St, Suite M, Lebanon, TN 37087-3351 | 2010-02-18 |
| Street Address |
568 RUIN CREEK RD SUITE 003 |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-2880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630301 | Hernan John Jimenez-medina | Physical Medicine & Rehabilitation | 568 Ruin Creek Rd, Suite 128, Henderson, NC 27536-2880 | 2005-06-23 |
| 1306217450 | Terri Mcdowell | Nurse Practitioner | 568 Ruin Creek Rd, Suite 128, Henderson, NC 27536-2880 | 2015-10-15 |
| 1215273628 | Dlp Maria Parham Physician Practices, LLC | Family Medicine | 568 Ruin Creek Rd, Suite 001, Henderson, NC 27536-2880 | 2012-12-13 |
| 1811274558 | Dlp Maria Parham Physician Practices, LLC | Internal Medicine | 568 Ruin Creek Rd, Suite 128, Henderson, NC 27536-2880 | 2011-11-09 |
| 1730466475 | Dlp Maria Parham Physician Practices, LLC | Physical Medicine & Rehabilitation | 568 Ruin Creek Rd, Suite 006, Henderson, NC 27536-2880 | 2011-11-09 |
| 1801172820 | Dlp Maria Parham Physician Practices, LLC | Internal Medicine | 568 Ruin Creek Rd, Suite 006, Henderson, NC 27536-2880 | 2011-10-24 |
| 1386929628 | Maria Parham Anesthesia and Physiatry Center Inc | Internal Medicine | 568 Ruin Creek Rd, Suite 102, Henderson, NC 27536-2880 | 2011-10-19 |
| 1750556791 | Richard A. Goldstein, M.d. | Audiologist-Hearing Aid Fitter | 568 Ruin Creek Rd, Suite 003, Henderson, NC 27536-5921 | 2008-04-29 |
| 1487832754 | Maria Parham Anesthesia and Physiatry Center, Inc | Anesthesiology | 568 Ruin Creek Rd, Suite 128, Henderson, NC 27536-2880 | 2008-02-08 |
| 1558553834 | Melissa Anne Daubert | Internal Medicine | 568 Ruin Creek Rd, Suite 102, Henderson, NC 27536-2880 | 2007-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201713 | Sharlona Payne | Nurse Practitioner | 697 Sunrise Cliffs St, Henderson, NV 89014-2659 | 2020-09-24 |
| 1295295038 | Ifeanyi C Madu | Nurse Practitioner | 785 Calamus Palm Pl, Henderson, NV 89011-2648 | 2019-03-20 |
| 1740673029 | Alejandro Jimenez Incera | Nurse Practitioner | 10885 S Eastern Ave, Suite 100, Henderson, NV 89052-5857 | 2015-03-11 |
| 1578635140 | Mildred M Martinez | Nurse Practitioner | 861 Coronado Center Dr Ste 220, Henderson, NV 89052-3992 | 2006-11-15 |
| 1710404793 | Charynne A Quinesares | Nurse Practitioner | 283 N Pecos Rd, Henderson, NV 89074-1918 | 2017-08-29 |
| 1417474412 | Renee E Brill | Nurse Practitioner | 870 Seven Hills Dr Ste 202, Henderson, NV 89052-4379 | 2017-08-29 |
| 1326562166 | Abigail Christina L Leonoras | Nurse Practitioner | 2847 Saint Rose Pkwy Ste 150, Henderson, NV 89052-4845 | 2017-08-02 |
| 1407805526 | Lola Faye Houston | Nurse Practitioner | 319 8th St, Suite 1, Henderson, KY 42420-2963 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309662 | Courtney Elaine Anderson | Nurse Practitioner | 101 E W T Harris Blvd Ste 1110, Charlotte, NC 28262-3454 | 2020-08-31 |
| 1649896150 | Richard Kral | Nurse Practitioner | 1697 Tellico Rd, Franklin, NC 28734-5955 | 2020-06-20 |
| 1194352963 | Tracy Shabu | Nurse Practitioner | 714 Windy Peak Loop, Cary, NC 27519-1886 | 2020-03-23 |
| 1871133850 | Stephanie M Canipe | Nurse Practitioner | 802 Woodmoore Ln, Kannapolis, NC 28081-5700 | 2020-01-08 |
| 1013551076 | Michelle Lowery | Nurse Practitioner | 805 E Peach St, Rowland, NC 28383-8613 | 2019-11-03 |
| 1629533146 | Kathy Parker Farley | Nurse Practitioner | 69 Darlington Dr, Broadway, NC 27505-9558 | 2019-02-08 |
| 1417427055 | Megan M Ribbing | Nurse Practitioner | 287 East St. Suite 221, Pittsboro, NC 27312 | 2018-11-27 |
| 1619472057 | Allyson Michele Baxter | Nurse Practitioner | 112 W Fire Tower Rd, Winterville, NC 28590-9475 | 2018-03-27 |
| 1669982039 | Christian Bernard Mikesell | Nurse Practitioner | Duke Geriatrics: 40 Medicine Circle Clinic 1j, Durham, NC 27710-4907 | 2017-10-11 |
| 1467970160 | Melissa Muller Rothrock | Nurse Practitioner | The Chapel Hill Residential Retirement Center, Inc. D/b, 750 Weaver Dairy Road, Chapel Hill, NC 27514-1438 | 2017-09-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.