Active NPI
Cynthia D Gentry, ARNP
- Nurse Practitioner
- Enid, OK
National Provider Identifier
1205868403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R0057783
- Practice address
- 915 E Garriott Rd
Suite a
Enid, OK 73701 - Phone
- (580) 242-2021
- NPI assigned
- Jul 7, 2006
- Last updated
- Sep 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R0057783 | OK | Primary |
Addresses
Primary practice location
915 E Garriott Rd
Suite a
Enid, OK 73701
Mailing address
Dept 960283
Oklahoma City, OK 73196
Phone (580) 548-1367
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0057783 | OK | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Rural Health Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1205868403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 960283",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73196",
"telephone_number": "580-548-1367",
"fax_number": "580-548-1537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 E GARRIOTT RD",
"address_2": "SUITE A",
"city": "ENID",
"state": "OK",
"postal_code": "73701",
"telephone_number": "580-242-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "CYNTHIA",
"middle_name": "D",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "R0057783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.