Kelly Gentry, AGNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

5008159 Issued in NC

Practice address

615 Lewis St Ste 200-C
Oxford, NC 27565-3693

Phone

(919) 482-6553

NPI assigned

Nov 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Simply Healthcare PLLC

  • Gerontology Nurse Practitioner
  • Oxford, NC
  • NPI 1780456640
  NPD Authorized official

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1285008235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 LEWIS ST STE 200-C",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653693",
            "telephone_number": "919-482-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LEWIS ST STE 200-C",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653693",
            "telephone_number": "919-482-6553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "568 Ruin Creek Rd",
            "address_2": "Suite 003",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275362880",
            "country_code": "US",
            "telephone_number": "252-436-6384",
            "fax_number": "252-436-6382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "KELLY",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5008159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Four H Home Care Agency
• Four H Home Care Agency
• Dorothy P Foushee
• Friendly Home Care LLC
• Virginia S Fuller, MD
• Gimg
• Akiva Dmitry Gimpelevich, D.O.
• Hannah Grace Glasscock, PHARMD
• Glory to Glory Ministries House of Refuge
• Elizabeth Ann Goldbach, OTR

• Gerontology Nurse Practitioner in Oxford, NC
• Providers in Oxford, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.