Active NPI
Ashley Nicole Gentry, P.A.
- Physician Assistant
- Cleburne, TX
National Provider Identifier
1699023622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA07896
- Practice address
- 220 N Ridgeway Dr
Cleburne, TX 76033-4115 - Phone
- (817) 556-4800
- Fax
- (817) 774-5015
- NPI assigned
- Aug 23, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA07896 | TX | Primary |
Addresses
Primary practice location
220 N Ridgeway Dr
Cleburne, TX 76033-4115
Mailing address
220 N Ridgeway Dr
Cleburne, TX 76033-4115
Phone (817) 556-4800
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345680000000",
"number": "1699023622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N RIDGEWAY DR",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334115",
"telephone_number": "817-556-4800",
"fax_number": "817-774-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N RIDGEWAY DR",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334115",
"telephone_number": "817-556-4800",
"fax_number": "817-774-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRY",
"first_name": "ASHLEY",
"middle_name": "NICOLE",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-23",
"last_updated": "2012-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.