Active NPI
Nathaniel Gentry, MS
- Student in an Organized Health Care Education/Training Program
- Chicago, IL
National Provider Identifier
1154174993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2900 N Lake Shore Dr
Chicago, IL 60657-5640 - Phone
- (773) 665-6730
- NPI assigned
- Apr 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Mailing address
2152 Watson Place CV
Nesbit, MS 38651-2602
Phone (901) 517-5912
Other practice location 1
Wilson Hall, 2405 Aggie Rd
-
Jonesboro, AR 72401
Phone (870) 972-2786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746316800000",
"number": "1154174993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2152 WATSON PLACE CV",
"city": "NESBIT",
"state": "MS",
"postal_code": "386512602",
"telephone_number": "901-517-5912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N LAKE SHORE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575640",
"telephone_number": "773-665-6730"
}
],
"practiceLocations": [
{
"address_1": "Wilson Hall, 2405 Aggie Rd",
"address_2": "-",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "AR",
"postal_code": "72401",
"country_code": "US",
"telephone_number": "870-972-2786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GENTRY",
"first_name": "NATHANIEL",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-10",
"last_updated": "2025-05-04",
"certification_date": "2025-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.