Svetlana Gentry, NP/PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18073 Issued in CA

Practice address

17 Delaport Way
Coronado, CA 92118

Phone

(619) 737-7226

NPI assigned

Sep 11, 2008

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

Other names 1

• Sveta Alexeeva Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1871742171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DELAPORT WAY",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183512",
            "telephone_number": "619-737-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 DELAPORT WAY",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "92118",
            "telephone_number": "619-737-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "SVETLANA",
        "credential": "NP/PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "18073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SVETA",
            "last_name": "ALEXEEVA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johnny Garcia, DNP, APRN, NP-C
• Christopher V. Garden, D.C.
• Anne Louise Gardner
• Jenna Gasparrini
• Andrew Gehr
• Miriam Elizabeth Gilson, MSTOM, L.AC. C.SMA
• Goldberg Pawsitive Touch Chiropractic P.C.
• Cassandra Joan Goldberg, DC
• Dania Gomez
• Veronica Ann Gomez

• Family Nurse Practitioner in Coronado, CA
• Providers in Coronado, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.