Robert Matthew Gentry

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

236181 Issued in AZ

Practice address

13680 E 53Rd St
Yuma, AZ 85367-8577

Phone

(520) 233-7111

NPI assigned

Apr 23, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgentry@adobecw.com

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.

• Adobe Provider Group

  • Nurse Practitioner
  • Tempe, AZ
  • NPI 1659850279
  NPD
• Adobe Care and Wellness LLC

  • Case Management Agency
  • Mesa, AZ
  • NPI 1346678935
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1255913828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 S MCCLINTOCK DR STE 302",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825879",
            "telephone_number": "480-339-1780",
            "fax_number": "602-357-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13680 E 53RD ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853678577",
            "telephone_number": "520-233-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "ROBERT",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "236181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rgentry@adobecw.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13680 E 53rd St",
            "city": "Yuma",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853678577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Micaela Gaytan
• Julia Geertsema, MA, CCC-SLP
• Gemini Physical Therapy and Rehabilitation LLC
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• George B Deckey, PC
• Mohammed Abdelghani Gerais, MD
• Geraisco LLC
• Diana Lynn Geren, M.A. ED.
• German Dobson CVS LLC (CVS Pharmacy #10028)

• Registered Nurse in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.