Stephanie K Tarry Yoo, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60493499 Issued in WA

Practice address

21600 Highway 99 Ste 150
Edmonds, WA 98026-8047

Phone

(425) 640-4395

Fax

(425) 640-4854

NPI assigned

Feb 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

University of California, Davis School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Swedish Health Services

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1689612954
  Medicare reassignment Care Compare group NPD
• Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1578593562
  Medicare reassignment NPD
• Neighborcare Health

  dba Neighborcare Health at Lincoln High School

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1275187429
  NPD
• Neighborcare Health

  dba Neighborcare Health at Rainier Beach

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1275567539
  NPD
• Neighborcare Health

  dba Neighborcare Health at Meridian

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1326443383
  NPD
• Swedish Health Services

  dba Swedish Physician Division

  • Surgery Physician
  • Seattle, WA
  • NPI 1053368571
  NPD (past)
• Banner Greeley Specialists

  • Multi-Specialty Clinic/Center
  • Greeley, CO
  • NPI 1558595611
  NPD (past)
• Banner Medical Group Greeley LLC

  • Multi-Specialty Clinic/Center
  • Johnstown, CO
  • NPI 1386817880
  NPD (past)

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1174855753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 HIGHWAY 99 STE 150",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268047",
            "telephone_number": "425-640-4395",
            "fax_number": "425-640-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRY YOO",
        "first_name": "STEPHANIE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60493499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2041456",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Tan
• Shen-Li Tan, M.D.
• Ping Tanggamman
• Maryam Tariq, M.D
• James Tarplee, RN, EAMP
• Ariana S Tart-Zelvin, PHD
• Cheyenne Tatum
• Erin Tausend, ND
• Ciara Jo Taylor, PT, DPT
• Diane Taylor, B.A.

• Registered Dietitian in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.