Individual provider Active NPI

Toni Denise Gentry, LPN

  • Licensed Practical Nurse
  • Winston Salem, NC
National Provider Identifier
1407502388
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
5248275 Issued in FL
Practice address
915 Bridge St
Winston Salem, NC 27101-1162
Phone
(133) 641-4017
Fax
(336) 608-4040
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 5248275 FL Primary

Addresses

Primary practice location

915 Bridge St
Winston Salem, NC 27101-1162

Mailing address

611 Field Crossing CT
Winston Salem, NC 27107-6896
Phone (336) 414-0173

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tonigentry@redefinedstaffing.org

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
5248275FLMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Redefined Staffing, LLC CurrentSince Mar 6, 2022 Accepting new patients

Locations

915 Bridge St
Winston Salem, NC 27101
Phone (336) 414-0173

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1407502388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 FIELD CROSSING CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271076896",
            "telephone_number": "336-414-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BRIDGE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011162",
            "telephone_number": "133-641-4017",
            "fax_number": "336-608-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "TONI",
        "middle_name": "DENISE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5248275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tonigentry@redefinedstaffing.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "915 Bridge St",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271011162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.