Active NPI
Julia Yunkyung Yi, PA-C
- Physician Assistant
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61226085
- Practice address
- 1019 112TH St SW
Everett, WA 98204-4875 - Phone
- (425) 551-6200
- NPI assigned
- Sep 8, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61213105 | WA | |
| Physician Assistant | 363A00000X | PA61226085 | WA | Primary |
Addresses
Primary practice location
1019 112TH St SW
Everett, WA 98204-4875
Mailing address
1019 112TH St SW
Everett, WA 98204-4875
Phone (425) 551-6200
Other practice location 1
8629 120th Ave NE
Kirkland, WA 98033-5822
Phone (425) 822-0414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033724968 | Medicaid | WA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH61213105 | WA | MD | Pharmacist |
| PA61226085 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Snohomish County | Current | Accepting new patients | |
| Community Health Center of Snohomish County | Current | Accepting new patients | |
| Concerto Medical Group of Washington, P.C. | Current | Accepting new patients | |
| Costco Wholesale Corporation | Past | Accepting new patients |
Locations
326 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2144
23320 Highway 99
Edmonds, WA 98026
Phone (425) 640-5500
4201 Rucker Ave
Everett, WA 98203
Phone (425) 382-4000
1424 Broadway
Everett, WA 98201
Phone (425) 551-1000
930 N Broadway
Everett, WA 98201
Phone (425) 317-0300
8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200
1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001
4111 194th St SW
Lynnwood, WA 98036
Phone (425) 835-5200
1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1730136367
-
- Primary Care Clinic/Center
- Tukwila, WA
- NPI 1568746345
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1023830346
-
- Mail Order Pharmacy
- Everett, WA
- NPI 1700996345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1033724968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 112TH ST SW",
"city": "EVERETT",
"state": "WA",
"postal_code": "982044875",
"telephone_number": "425-551-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 112TH ST SW",
"city": "EVERETT",
"state": "WA",
"postal_code": "982044875",
"telephone_number": "425-551-6200"
}
],
"practiceLocations": [
{
"address_1": "8629 120th Ave NE",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980335822",
"country_code": "US",
"telephone_number": "425-822-0414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YI",
"first_name": "JULIA",
"middle_name": "YUNKYUNG",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61213105",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61226085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033724968",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.