PAIGE MARIE GENTRY (NPI# 1962020768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962020768 |
| Entity Type | Individual |
| Full Name | PAIGE MARIE GENTRY |
| Practice Address |
120 Southwinds Rd Ste 2 Farmington AR 72730-8652 |
| Mailing Address |
1900 Stillwater Dr Jonesboro AR 72404-9119 |
| Practice Telephone | 8709323600 |
| Mailing Telephone | 8709323600 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 502 E Race Ave, Searcy, AR 721434417 | 5012683400 |
| Street Address |
120 SOUTHWINDS RD STE 2 |
| City | FARMINGTON |
| State | AR |
| Zip Code | 72730-8652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538410840 | Leslie Marie Baker | Occupational Therapy Assistant | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2012-09-26 |
| 1265030795 | Karen January | Day Training/Habilitation Specialist | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2020-10-16 |
| 1578187894 | Alexia Allen | Speech-Language Pathologist | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2020-06-02 |
| 1639790272 | Tamara Sue Campbell | Driver | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2020-05-06 |
| 1255963245 | Morgan Chase Lewis | Driver | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2020-02-07 |
| 1215567607 | Beatriz Naoma Cope | Day Training/Habilitation Specialist | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2020-01-24 |
| 1295379600 | Haley Brooke Smith | Day Training/Habilitation Specialist | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2019-10-30 |
| 1780233031 | Kaylee Jo Bridges | Registered Nurse | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2019-09-10 |
| 1821641119 | John O Jenkins | Driver | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2019-07-17 |
| 1487216453 | Linda Lee Renfro | Registered Nurse | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2019-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073706370 | Exceed Physical Therapy, Inc. | Physical Therapist | 95 S Southwinds Rd, Suite 1, Farmington, AR 72730 | 2007-08-21 |
| 1134288228 | Melanie Nicole Alberty | Physical Therapy Assistant | 91 Neal, Farmington, AR 72730 | 2006-12-06 |
| 1689687329 | Terri Lynn Pinkham | Occupational Therapist | 91 E Neal, Hope for Tomorrow Pediatric Foundation, Farmington, AR 72730 | 2006-08-14 |
| 1497768139 | Pamela K Petray | Speech-Language Pathologist | 91 Neal St, Hope for Tomorrow, Farmington, AR 72730 | 2006-08-14 |
| 1790202596 | Chelsea Kaitlyn Coffelt | Occupational Therapist | 4 N Double Springs Rd, Farmington, AR 72730 | 2017-08-23 |
| 1083151104 | Zoe Loretta Allgood Mcgee | Speech-Language Pathologist | 4 N Double Springs Rd, Farmington, AR 72730 | 2017-01-26 |
| 1669694139 | Nancy Marie Whitten | Speech-Language Pathologist | 91 Neal, Hope for Tomorrow, Farmington, AR 72730 | 2007-05-03 |
| 1538292305 | Robert Lee Brewer | Dentist | 19 West Main St, Farmington, AR 72730 | 2007-03-13 |
| 1295835122 | Rickie Lynn Porter | Pharmacist | 197 E Main St, Farmington, AR 72730 | 2006-09-22 |
| 1801809553 | Lara Cecile Lamastus | Physical Therapist | 91 Neal St, Farmington, AR 72730 | 2006-08-14 |
| Find all providers in zip 72730 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030795 | Karen January | Day Training/Habilitation Specialist | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2020-10-16 |
| 1215567607 | Beatriz Naoma Cope | Day Training/Habilitation Specialist | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2020-01-24 |
| 1295379600 | Haley Brooke Smith | Day Training/Habilitation Specialist | 120 Southwinds Rd Ste 2, Farmington, AR 72730-8652 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396375796 | Diana L Beck | Day Training/Habilitation Specialist | 1008 W Childress St, Morrilton, AR 72110-1708 | 2020-01-24 |
| 1538677869 | Regina Sloan | Day Training/Habilitation Specialist | 920 University Dr, Russellville, AR 72801-4303 | 2018-01-22 |
| 1194230169 | Amanda Morgan | Day Training/Habilitation Specialist | 272 School Ave, West Fork, AR 72774-3124 | 2017-12-12 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1871016923 | Emily A Huddleston | Day Training/Habilitation Specialist | 1801 N Buerkle St, Stuttgart, AR 72160-2519 | 2017-07-20 |
| 1255866604 | Race Cunningham | Day Training/Habilitation Specialist | 2871 American St, Springdale, AR 72764-6938 | 2017-04-24 |
| 1619417896 | Amy Pinkston | Day Training/Habilitation Specialist | 149 Old Trestle Ln, Batesville, AR 72501-9597 | 2017-03-07 |
| 1891155719 | Karen Hartsfield | Day Training/Habilitation Specialist | 524 Self Ln, Newark, AR 72562-9615 | 2016-03-04 |
| 1821458738 | Sarah Sexton | Day Training/Habilitation Specialist | 1334 Red Deer Trl, Salem, AR 72576-5510 | 2016-03-04 |
| 1063885002 | Jaime Smith | Day Training/Habilitation Specialist | 56 Buck Ln, Poughkeepsie, AR 72569-9150 | 2015-11-12 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 72730 |
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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.