Individual provider Active NPI

Shimboon Yoon, L.AC.

  • Acupuncturist
  • Upper Arlington, OH
National Provider Identifier
1033002472
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
65.000190 Issued in OH
Practice address
3200 Tremont Rd
Upper Arlington, OH 43221-2040
Phone
(614) 293-9777
Fax
(614) 293-9677
NPI assigned
Jun 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 65.000190 OH Primary

Addresses

Primary practice location

3200 Tremont Rd
Upper Arlington, OH 43221-2040

Mailing address

241 S Ardmore Rd
Bexley, OH 43209-1701
Phone (614) 558-2130

Other practice location 1

4041 N High St Ste 401C
Columbus, OH 43214-3253
Phone (614) 558-2130

Other names 1

  • Kit Yoon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
65.000190OHMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1033002472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 S ARDMORE RD",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432091701",
            "telephone_number": "614-558-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 TREMONT RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432212040",
            "telephone_number": "614-293-9777",
            "fax_number": "614-293-9677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4041 N High St Ste 401C",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432143253",
            "country_code": "US",
            "telephone_number": "614-558-2130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "SHIMBOON",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65.000190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIT",
            "last_name": "YOON",
            "credential": "L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Upper Arlington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.