Alexandria Gientke, AGNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10024114 Issued in OR

Practice address

1345 NW Wall St Ste 302
Bend, OR 97703-1970

Phone

(541) 323-3960

NPI assigned

Apr 1, 2024

Sex

Female

Sole proprietor

Yes

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

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17951/brand/1/csg/1/fhir/r4

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.

• Deschutes Family Care, LLC

  dba Deschutes Family Care

  • Primary Care Clinic/Center
  • Bend, OR
  • NPI 1740654086
  Medicare reassignment NPD

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1114779550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 NE BOBBIE CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016609",
            "telephone_number": "503-568-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 NW WALL ST STE 302",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031970",
            "telephone_number": "541-323-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIENTKE",
        "first_name": "ALEXANDRIA",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "10024114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Alejandra Gibson-Godoy
• Allen Gibson
• Joslyn Gibson, PA-C
• Rex Shannon Gibson, D.D.S
• Christine Howard Gieben, PSY.D
• Patricia Ann Giffin, PH.D.
• Darcy Gilbert Bridwell, M.A.
• Elaine Margaret Gilbert, RN
• Holly Gilbert, MA, LPC
• Ken Gilbert

• Family Medicine Physician in Bend, OR
• Providers in Bend, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.