Individual provider Active NPI

Iselda Gentry, FNP-BC

  • Family Nurse Practitioner
  • Vista, CA
National Provider Identifier
1285172072
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
768621 Issued in CA
Practice address
161 Thunder Dr
Suite 212
Vista, CA 92083-6016
Phone
(760) 941-7309
Fax
(760) 477-2950
NPI assigned
Feb 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 768621 CA Primary

Addresses

Primary practice location

161 Thunder Dr
Suite 212
Vista, CA 92083-6016

Mailing address

2473 Sunflower Ter
Vista, CA 92083-8036
Phone (760) 419-7282

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
768621CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: iselda.gentry.1@24252.direct.athenahealth.com
  • Direct secure messaging: iselda.gentry.1@19742.direct.athenahealth.com
  • Direct secure messaging: iselda.gentry.1@2400.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1285172072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2473 SUNFLOWER TER",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920838036",
            "telephone_number": "760-419-7282",
            "fax_number": "760-477-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 THUNDER DR",
            "address_2": "SUITE 212",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836016",
            "telephone_number": "760-941-7309",
            "fax_number": "760-477-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "ISELDA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "768621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.