Active NPI
Linda G Gentry, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Frankfort, KY
National Provider Identifier
1215991567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3004767
- Practice address
- 213 Saint Clair St Ste 205
Frankfort, KY 40601-1845 - Phone
- (859) 813-4149
- Fax
- (859) 545-4979
- NPI assigned
- Apr 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 1076608 | KY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 3004767 | KY | Primary |
Addresses
Primary practice location
213 Saint Clair St Ste 205
Frankfort, KY 40601-1845
Mailing address
PO Box 996
Georgetown, KY 40324-0996
Phone (859) 813-4149
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3004767 | Other | KY | KY BOARD OF NURSING |
| 1076608 | Other | KY | KY BOARD OF NURSING |
| 7100080690 | Medicaid | KY |
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
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1076608 | KY | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Kentucky Mental Health Mental Retardation Regional Board | 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 and National Provider Directory roles.
-
- Psychiatric Hospital
- Covington, KY
- NPI 1679775514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1215991567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 996",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403240996",
"telephone_number": "859-813-4149",
"fax_number": "859-545-4979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 SAINT CLAIR ST STE 205",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406011845",
"telephone_number": "859-813-4149",
"fax_number": "859-545-4979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "LINDA",
"middle_name": "G",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "KY",
"license": "1076608",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "3004767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY BOARD OF NURSING",
"identifier": "3004767",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY BOARD OF NURSING",
"identifier": "1076608",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100080690",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.