Organization Active NPI

Jacqueline Gregory Pychiatric Nurse Practitioner PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Selah, WA
National Provider Identifier
1295657419
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JACQUELINE GREGORY PYCHIATRIC NURSE PRACTITIONER PLLC
Practice address
1769 Naches Wenas Rd Lot 156
Selah, WA 98942-1448
Phone
(509) 854-8722
Fax
(307) 202-4873
NPI assigned
Jul 28, 2026
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Ms. Jacqueline Gregory, PHD, FNP-C PMHNP-BC
Title
Owner
Phone
(509) 854-8722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

1769 Naches Wenas Rd Lot 156
Selah, WA 98942-1448

Mailing address

1769 Naches Wenas Rd Lot 156
Selah, WA 98942-1448
Phone (509) 854-8722

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1295657419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 NACHES WENAS RD LOT 156",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421448",
            "telephone_number": "509-854-8722",
            "fax_number": "307-202-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 NACHES WENAS RD LOT 156",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989421448",
            "telephone_number": "509-854-8722",
            "fax_number": "307-202-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE GREGORY PYCHIATRIC NURSE PRACTITIONER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-854-8722",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD, FNP-C PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.