Individual provider Active NPI

Joyce Ebobosere Gentry, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Longview, TX
National Provider Identifier
1760971105
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP137345 Issued in TX
Practice address
101 W Hawkins Pkwy Ste 1
Longview, TX 75605-1833
Phone
(903) 331-0162
Fax
(903) 331-0132
NPI assigned
May 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP137345 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP137345 TX Primary

Addresses

Primary practice location

101 W Hawkins Pkwy Ste 1
Longview, TX 75605-1833

Mailing address

101 W Hawkins Pkwy Ste 1
Longview, TX 75605-1833
Phone (903) 331-0162

Other identifiers 1

IdentifierTypeStateIssuer
391720501MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181112002076 TX Practitioner - Nurse Practitioner 0648524520 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 W Hawkins Pkwy
Suite 1
Longview, TX 75605-1833
Phone (903) 331-0162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Border Region MH Mr Community Center CurrentSince Jan 1, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 29, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 29, 2018 Accepting new patients
Priority Behavioral Health Psychiatric/Mental Health CurrentSince Jul 1, 2021 Accepting new patients

Locations

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

446 Forest Sq
Longview, TX 75605
Phone (512) 810-2975

101 W Hawkins Pkwy
Ste 1
Longview, TX 75605
Phone (903) 331-0162

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1760971105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W HAWKINS PKWY STE 1",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051833",
            "telephone_number": "903-331-0162",
            "fax_number": "903-331-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W HAWKINS PKWY STE 1",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051833",
            "telephone_number": "903-331-0162",
            "fax_number": "903-331-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "JOYCE",
        "middle_name": "EBOBOSERE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137345",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP137345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391720501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.