Randy Gentry, APRN,FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

651184 Issued in TX

Practice address

7133 Oconnell St
Rockwall, TX 75087-7033

Phone

(469) 766-1094

NPI assigned

Oct 23, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fastdoc Professional AssociationGroup PAC ID 4385056241, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rgentry1260235@ahs.direct-ci.com

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.

• Fastdoc Professional Association

  dba FastDoc Urgent Care

  • Urgent Care Clinic/Center
  • Allen, TX
  • NPI 1740880392
  Medicare reassignment Care Compare group NPD
• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019

  Nurse Practitioner

  Medicare reassignment NPD
• Texas Em-1 Medical Services PA

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1659446193

  Nurse Practitioner

  NPD (past)
• Texas Em-1 Medical Services, PA

  • Nurse Practitioner
  • Sulphur Springs, TX
  • NPI 1477741486
  NPD (past)

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1740516855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7133 OCONNELL ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877033",
            "telephone_number": "469-766-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7133 OCONNELL ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877033",
            "telephone_number": "469-766-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "RANDY",
        "credential": "APRN,FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "651184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Suzanne Garza, MSN, RN, FNP
• Lisa Jayne Gauvin, FNP-C
• Gaven, P.a.
• Genesis Physical Therapy
• Beverly Barton Gentry, M.ED.
• Kehren Mallory Gessner
• Get Set Physical Therapy & Wellness, PLLC
• Adil Ghafoor, M.D.
• Aldo Anthony Ghobriel, M.D.
• Gia's Health Line PLLC

• Nurse Practitioner in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.

Verify at the official NPI Registry.