Active NPI
Amy Gentry
- Psychiatric/Mental Health Nurse Practitioner
- Powell, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 29780
- Practice address
- 7714 Conner Rd Ste 105
Powell, TN 37849-3559 - Phone
- (865) 947-6220
- Fax
- (865) 512-1069
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 29780 | TN | Primary |
Addresses
Primary practice location
7714 Conner Rd Ste 105
Powell, TN 37849-3559
Mailing address
1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1240 Tennova Medical Way
Knoxville, TN 37909-3120
Phone (865) 444-3770
815 W 5TH N St
Morristown, TN 37814-3810
Phone (423) 586-5032
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29780 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knoxville Center for Behavioral Medicine LLC | Current | Accepting new patients | |
| Cherokee Health Systems | Current | Accepting new patients | |
| Cherokee Health Systems | Current | Accepting new patients | |
| The Cornerstone of Recovery, Inc. | Past | Accepting new patients |
Locations
255 E Watt St
Alcoa, TN 37701
Phone (865) 273-1616
2018 Western Ave
Knoxville, TN 37921
Phone (865) 544-0406
1240 Tennova Medical Way
Knoxville, TN 37909
Phone (865) 444-3770
1923 Sulphur Springs Rd
Morristown, TN 37813
815 W 5th North St
Morristown, TN 37814
Phone (423) 586-5032
215 Hedrick Dr
Newport, TN 37821
Phone (423) 623-5301
7714 Conner Rd
Ste 105
Powell, TN 37849
Phone (865) 947-6220
6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Talbott, TN
- NPI 1134128820
-
- Psychiatric Hospital
- Knoxville, TN
- NPI 1710640776
-
- Federally Qualified Health Center (FQHC)
- White Pine, TN
- NPI 1699666404
-
- Substance Abuse Rehabilitation Facility
- Louisville, TN
- NPI 1558479758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1417527672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1923 SULPHUR SPRINGS RD",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378135654",
"telephone_number": "423-317-9344",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7714 CONNER RD STE 105",
"city": "POWELL",
"state": "TN",
"postal_code": "378493559",
"telephone_number": "865-947-6220",
"fax_number": "865-512-1069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "29780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Powell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.