Individual provider Active NPI

Gregory D Jones, DNP, PMHNP-BC, CPC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1568936318
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61637104 Issued in WA
Practice address
15413 1St Avenue CT S Ste 1a
Tacoma, WA 98444-4631
Phone
(360) 539-8899
Fax
(360) 539-1744
NPI assigned
Jan 15, 2019
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61637104 WA Primary
Registered Nurse 163W00000X RN60784261 WA

Addresses

Primary practice location

15413 1St Avenue CT S Ste 1a
Tacoma, WA 98444-4631

Mailing address

PO Box 110804
Tacoma, WA 98411-0804
Phone (360) 539-8899

Other practice location 1

8006 E B St
Tacoma, WA 98404-1029
Phone (443) 834-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20260406003444 WA Practitioner - Nurse Practitioner 8426523689 Practice locations: Tacoma, WA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Tacoma, WA 98404
Phone (360) 539-8899

15413 1St Ave CT S
Suite 1a
Tacoma, WA 98444-4631
Phone (360) 539-8899

PO Box
Suite 110804
Tacoma, WA 98411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN60784261WAMDRegistered Nurse
AP61637104WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lucid Living, LLC. CurrentSince Jan 5, 2020 Accepting new patients

Locations

15413 1st Avenue Ct S
Ste 1A
Tacoma, WA 98444
Phone (360) 539-8899

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1568936318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110804",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984110804",
            "telephone_number": "360-539-8899",
            "fax_number": "360-539-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15413 1ST AVENUE CT S STE 1A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444631",
            "telephone_number": "360-539-8899",
            "fax_number": "360-539-1744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8006 E B St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984041029",
            "country_code": "US",
            "telephone_number": "443-834-8444",
            "fax_number": "360-539-1744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC, CPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-15",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61637104",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60784261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.