SUSANNA GENTRY (NPI# 1306463898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306463898 |
| Entity Type | Individual |
| Full Name | SUSANNA GENTRY |
| Credential | FNP |
| Practice Address |
2511 Old Cornwallis Rd Durham NC 27713-1869 |
| Mailing Address |
3422 Avent Ferry Rd Raleigh NC 27606-3646 |
| Practice Telephone | 9199325700 |
| Mailing Telephone | 4102795050 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5013263 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2019045619 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2511 OLD CORNWALLIS RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959560 | Shohreh Taavoni | Internal Medicine | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 | 2005-08-10 |
| 1225637721 | Alexandria Wilson | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-10-26 |
| 1083223879 | Stanisha Natrice Williams | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-07-28 |
| 1356977623 | Catelyn Vanauken Inman | Registered Nurse | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-03-19 |
| 1760033856 | Corinna Ter-antonyan | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-09-20 |
| 1952950859 | Megan D Long | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-09-04 |
| 1912560277 | Sharee Knox | Physician Assistant | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-04-22 |
| 1245792654 | Rebecca Waters | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-04-03 |
| 1932664448 | Elizabeth Jordan Barnes | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-02-08 |
| 1942773783 | Deanna Lynne Walters | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881214005 | Benjamin David Teague | Nurse Practitioner | 40 Medicine Circle Dumc 3094, Durham, NC 27710-0001 | 2020-04-17 |
| 1821633595 | Caitlin Brown Macgregor | Nurse Practitioner | 20 Duke Medicine Circle Oncology Treatment Center, Durham, NC 27710-0001 | 2019-11-16 |
| 1447891718 | Virginia Coe | Nurse Practitioner | Duke University Medical Center-heart Center, Durham, NC 27710-0001 | 2019-10-08 |
| 1417512302 | Linda Fares | Nurse Practitioner | 3714 Meriwether Dr Apt H, Durham, NC 27704-2876 | 2019-05-06 |
| 1144783705 | Modinat Adenike Adeleye | Nurse Practitioner | 3328 Ivey Wood Ln, Durham, NC 27703-4797 | 2019-04-10 |
| 1295234144 | Rosanne Branciforte | Nurse Practitioner | 1320 Arbutus St, Durham, CT 06422-1702 | 2018-02-06 |
| 1770092314 | Grace Anyango Otieno | Nurse Practitioner | 2907 Moorgate Ave, Durham, NC 27704-6037 | 2017-09-27 |
| 1578081501 | Samantha Leann Schmidtke | Nurse Practitioner | 30 Duke Medicine Ciricle Dumc 3872, Durham, NC 27710-3976 | 2017-08-30 |
| 1689196461 | Elizabeth Anne Romance | Nurse Practitioner | 2301 Erwin Rd Unit 3300, Durham, NC 27705-4699 | 2017-07-12 |
| 1003343757 | Jennifer Snyder | Nurse Practitioner | 621 Ashford Ln, Durham, NC 27713-7142 | 2017-05-12 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.