Active NPI
Kasey Lee Gentry
- Family Nurse Practitioner
- Elkin, NC
National Provider Identifier
1245614700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 227834
- Practice address
- 600 Chatham Medical Park
Elkin, NC 28621-2482 - Phone
- (336) 835-4819
- NPI assigned
- Jul 15, 2015
- Last updated
- Jul 15, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 227834 | NC | Primary |
Addresses
Primary practice location
600 Chatham Medical Park
Elkin, NC 28621-2482
Mailing address
600 Chatham Medical Park
Elkin, NC 28621-2482
Phone (336) 835-4819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1245614700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CHATHAM MEDICAL PARK",
"city": "ELKIN",
"state": "NC",
"postal_code": "286212482",
"telephone_number": "336-835-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CHATHAM MEDICAL PARK",
"city": "ELKIN",
"state": "NC",
"postal_code": "286212482",
"telephone_number": "336-835-4819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "KASEY",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-15",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "227834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkin, NC
- Cassandra Mae Gardner, FNP-C
- Jamette R Garrett, DO
- Paul Leslie Garrison Jr., MD
- Gaston Family Health Services, Inc (Kintegra at Elkin Middle)
- Gaston Family Health Services, Inc (Kintegra at Elkin High)
- Deborah Bullock Gilmore, CFM,CFTS
- Liza Go-Harris
- Grace Clinic of Yadkin Valley
- Graham Medical Services PLLC
- Jennifer Brooke Gregory-Lyles, LCMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.