Alicia Kamile Gentry-Moon, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

28187726A Issued in IN

Practice address

PO 548 Highway 86 Topawa Road
Sells, AZ 85634

Phone

(520) 383-7200

NPI assigned

Jan 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1043022338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856340098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO 548 HIGHWAY 86 TOPAWA ROAD",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "85634",
            "telephone_number": "520-383-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY-MOON",
        "first_name": "ALICIA",
        "middle_name": "KAMILE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IN",
            "license": "28187726A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Lourdes Galvan, RN, CDE
• Abby Garrety, PHARMD
• Bryon Lawrence Garrety, PHARMD
• Katherine L Gaston
• Cornelio Neal Genilo, PHARMD
• Joel Ross Gillmeister
• Julie Goding
• Francisca L Gonzales, LPN
• Jose Alberto Gonzalez-Bonilla, RN
• Robert Don Carlos Granger, RN

• All providers in Sells, AZ
• General Practice Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.