Active NPI
Pamela Winebrenner Gentry, RN
- Registered Nurse
- Durham, NC
National Provider Identifier
1164611489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 083637
- Practice address
- 2424 Erwin Rd
Suite 1105, Room 11023
Durham, NC 27705-3824 - Phone
- (919) 668-7203
- NPI assigned
- Oct 23, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 083637 | NC | Primary |
Addresses
Primary practice location
2424 Erwin Rd
Suite 1105, Room 11023
Durham, NC 27705-3824
Mailing address
2424 Erwin Rd
Suite 1105, Room 11023
Durham, NC 27705-3824
Phone (919) 668-7203
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083637 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1164611489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 ERWIN RD",
"address_2": "SUITE 1105, ROOM 11023",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053824",
"telephone_number": "919-668-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2424 ERWIN RD",
"address_2": "SUITE 1105, ROOM 11023",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053824",
"telephone_number": "919-668-7203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "PAMELA",
"middle_name": "WINEBRENNER",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "083637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.