Active NPI
Junko Yasuda-Free, D.O.
- Psychiatry Physician
- Auburn, WA
National Provider Identifier
1033401161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OP60564355
- Practice address
- 202 N Division St
Auburn, WA 98001-4939 - Phone
- (253) 697-8400
- NPI assigned
- May 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5101019246 | MI | |
| Psychiatry Physician | 2084P0800X | 5315049842 | MI | |
| Psychiatry Physician | 2084P0800X | OP60564355 | WA | Primary |
Addresses
Primary practice location
202 N Division St
Auburn, WA 98001-4939
Mailing address
202 N Division St
Auburn, WA 98001-4939
Phone (253) 697-8400
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101019246 | MI | MD | Psychiatry Physician |
| 5315049842 | MI | MD | Psychiatry Physician |
| OP60564355 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1033401161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 N DIVISION ST",
"city": "AUBURN",
"state": "WA",
"postal_code": "980014939",
"telephone_number": "253-697-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 N DIVISION ST",
"city": "AUBURN",
"state": "WA",
"postal_code": "980014939",
"telephone_number": "253-697-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASUDA-FREE",
"first_name": "JUNKO",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-09",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "5101019246",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "5315049842",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "OP60564355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.