Amanda Marie Gentry, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1479 Issued in AR

Practice address

514 Santa Fe TRL
Little Rock, AR 72205-2210

Phone

(501) 352-6146

NPI assigned

Jul 26, 2021

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1376216382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 SANTA FE TRL",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052210",
            "telephone_number": "501-352-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 SANTA FE TRL",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052210",
            "telephone_number": "501-352-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Global Network
• Genesis Women'S Clinic, P.a.
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Cesar Giancarlo Gentille Sanchez, MD
• Carolyn Gentry, PT
• Karla Y Gentry, LPC
• Michelle Gentry, LCSW
• Patrick Gentry, CIT
• Rhonda Gentry, MD

• Registered Dietitian in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Registered Dietitian in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.