Individual provider Active NPI

Amberly Gentry, FNP

  • Family Nurse Practitioner
  • Harrison, OH
National Provider Identifier
1407200603
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.19000-NP Issued in OH
Practice address
620 Ring Rd
Suite B
Harrison, OH 45030-2764
Phone
(513) 845-4558
Fax
(513) 845-4568
NPI assigned
Apr 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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 COA.19000-NP OH Primary

Addresses

Primary practice location

620 Ring Rd
Suite B
Harrison, OH 45030-2764

Mailing address

620 Ring Rd
Harrison, OH 45030-2764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160719001153 OH Practitioner - Nurse Practitioner 6800188483 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Accudoc Inc PC CurrentSince May 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients

Locations

20 Alpine Dr
Batesville, IN 47006
Phone (812) 932-3224

620 Ring Rd
Harrison, OH 45030
Phone (513) 202-9600

620 Ring Rd
Ste B
Harrison, OH 45030
Phone (513) 845-4558

Interoperability endpoints

  • Direct secure messaging: amberly.gentry.p7@direct.healthcareconnection.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1407200603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 RING RD",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 RING RD",
            "address_2": "SUITE B",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302764",
            "telephone_number": "513-845-4558",
            "fax_number": "513-845-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "AMBERLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.19000-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, OH

Sources for this page

Verify at the official NPI Registry.