Active NPI
Lindsey T Gentry, ATC
- Athletic Trainer
- Mississippi State, MS
National Provider Identifier
1376667949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT0340
- Practice address
- 2 Hardy Rd
Mississippi State, MS 39762 - Phone
- (662) 325-7543
- Fax
- (662) 325-8888
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT0340 | MS | Primary |
Addresses
Primary practice location
2 Hardy Rd
Mississippi State, MS 39762
Mailing address
1247 Hickory Grove Rd N
Starkville, MS 39759-8516
Phone (662) 324-1514
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT0340 | MS | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi State University | Past | Accepting new patients | |
| Mississippi State University | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba John C Longest Student Health Center
- Student Health Clinic/Center
- Mississippi State, MS
- NPI 1225012255
-
dba Longest Student Health Center Pharmacy
- Pharmacist
- Mississippi State, MS
- NPI 1659357978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376667949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1247 HICKORY GROVE RD N",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397598516",
"telephone_number": "662-324-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HARDY RD",
"city": "MISSISSIPPI STATE",
"state": "MS",
"postal_code": "39762",
"telephone_number": "662-325-7543",
"fax_number": "662-325-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "LINDSEY",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MS",
"license": "AT0340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mississippi State, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.