Ryeneysa Jacquelyn Gregory, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LG-0001114 Issued in DE

Practice address

410 Foulk Rd Ste 200B
Wilmington, DE 19803-3802

Phone

(302) 762-6675

NPI assigned

Mar 25, 2018

Last updated

Apr 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ryeneysa Jacquelyn Mackall Former name

Medicare fee-for-service enrollment

Enrolled in DE, AZ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17876/brand/1/csg/1/fhir/r4

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.

• Trinity Medical Associates PA

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1376897090
  Medicare reassignment NPD
• Duo Health of Arizona LLC

  • Nephrology Physician
  • Chicago, IL
  • NPI 1730816703

  AZ

  Medicare reassignment NPD

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

{
    "created_epoch": "1521936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1619472446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 FOULK RD STE 200B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033802",
            "telephone_number": "302-762-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 FOULK RD STE 200B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033802",
            "telephone_number": "302-762-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "RYENEYSA",
        "middle_name": "JACQUELYN",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-25",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYENEYSA",
            "last_name": "MACKALL",
            "middle_name": "JACQUELYN",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory D. Hall, M.D., P.a.
• Jennifer Gregory
• Katelyn Gregory, DO
• Melissa Erin Gregory, MA MFT, LPC
• Philip Edward Gregory Jr.
• Victor L Gregory Jr., D.M.D.
• Erin Kathleen Grey, DO
• Regina M Grey, LPC
• Gribb Omfs LLC
• Ariel Grier

• Family Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.