Individual provider Active NPI

Rachel Elizabeth Gentles

  • Licensed Practical Nurse
  • Central Islip, NY
National Provider Identifier
1932428901
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
300739 Issued in NY
Practice address
48 Adams Rd Unit 1
Central Islip, NY 11722-2248
Phone
(631) 482-2074
Fax
(631) 630-1623
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 300739 NY Primary

Addresses

Primary practice location

48 Adams Rd Unit 1
Central Islip, NY 11722-2248

Mailing address

48 Adams Rd Unit 1
Central Islip, NY 11722-2248
Phone (631) 482-2074

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1932428901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ADAMS RD UNIT 1",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222248",
            "telephone_number": "631-482-2074",
            "fax_number": "631-630-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ADAMS RD UNIT 1",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222248",
            "telephone_number": "631-482-2074",
            "fax_number": "631-630-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTLES",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "300739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.