Mia Gentle, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-077078 Issued in AL

Practice address

645 McQueen Smith Rd N
Prattville, AL 36066-7268

Phone

(334) 361-2121

NPI assigned

Jul 29, 2014

Sex

Female

Sole proprietor

No

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 AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mia.gentle@53509468717060.direct.elationemr.com
• Direct secure messaging: mia.gentle@666273635237892.direct.elationemr.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.

• Trifecta Healthcare Services, LLC.

  • Pain Clinic/Center
  • Montgomery, AL
  • NPI 1255086583
  NPD

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1760890198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 OLD PARK ROW",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174395",
            "telephone_number": "334-451-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 MCQUEEN SMITH RD N",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667268",
            "telephone_number": "334-361-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTLE",
        "first_name": "MIA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-077078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachiel Gamble
• Silvia E Garcia-Lavin, DPM
• Ebony Janae Gardner-Ellis
• Julie Annette Garten, LICSW
• GD Al Glynwood PLLC
• Nicholas Brit Gerlach, PA
• Destini Gibson, RBT
• Bianca Gildersleeve, RN
• Glynwood Park Dental Care
• Samantha Jean Gonzalez, M.S., CCC-SLP

• Family Nurse Practitioner in Prattville, AL
• Providers in Prattville, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.