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NPISignal

Individual Healthcare Provider

Jeanette Geraldine Revay, ARNP PSYCH

NPI Record: ActiveNurse Practitioner — Psychiatric/Mental Health
NPI1043313935
Olympia, Washington

Provider's NPPES record last updated: November 17, 2021

Overview

Entity Type
Individual Healthcare Provider
NPI
1043313935
Primary Specialty
Nurse Practitioner — Psychiatric/Mental Health
Practice Location
Olympia, Washington
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 7:02 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Nurse Practitioner

    Psychiatric/Mental Health

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    Definition to come...

    Taxonomy code 363LP0808X
  • Registered Nurse

    Psychiatric/Mental Health

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WP0808X
  • Counselor

    Mental Health

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YM0800X

Provider-Reported License Information

Nurse Practitioner (Washington)
AP30005089
Registered Nurse (Washington)
AP30005089
Counselor (Washington)
AP30005089
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2747 Pacific Ave Se

Suite B19

Olympia, Washington 98501

Phone: (360) 481-7477

Record Information

Enumeration Date
September 6, 2006
Provider's NPPES Record Last Updated
November 17, 2021
Certification Date
November 10, 2021
NPISignal NPPES Dataset
August 2026

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