Individual provider Active NPI

Yooni Park, ARNP

  • Nurse Practitioner
  • Everett, WA
National Provider Identifier
1205217353
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60798028 Issued in WA
Practice address
3901 Hoyt Ave
Everett, WA 98201-4988
Phone
(425) 259-0966
Fax
(425) 257-1433
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 201501210NP-PP OR
Nurse Practitioner 363L00000X AP60798028 WA Primary
Adult Health Nurse Practitioner 363LA2200X 201501210NP-PP OR

Addresses

Primary practice location

3901 Hoyt Ave
Everett, WA 98201-4988

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (425) 259-0966

Other practice location 1

800 164th St SE Ste P
Mill Creek, WA 98012-6301
Phone (425) 434-4231

Other practice location 2

2615 Willetta St SW Ste C2
Albany, OR 97321-3486
Phone (541) 812-5600

Other practice location 3

11812 N Creek Pkwy N Ste 202
Bothell, WA 98011-8202
Phone (425) 287-5500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171206002616 WA Practitioner - Nurse Practitioner 8820305055 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Care PLLCGroup PAC ID 4486999232, 3 clinicians

Practice addresses (Care Compare)

11812 N Creek Pkwy N
Suite 202
Bothell, WA 98011-8202
Phone (425) 287-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201501210NP-PPORMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Nov 27, 2017 Accepting new patients
Multicare Health System Current Accepting new patients
Optum Care Washington PLLC CurrentSince Jun 6, 2022 Accepting new patients
Washington Pain and Spine Specialists LLC CurrentSince Sep 1, 2024 Accepting new patients
Optum Care Washington PLLC CurrentSince Jun 6, 2022 Accepting new patients
Multicare Health System Nurse Practitioner CurrentSince Nov 27, 2017 Accepting new patients
Prime Care PLLC Nurse Practitioner CurrentSince Feb 1, 2025 Accepting new patients
Prime Care PLLC Nurse Practitioner PastSince Feb 1, 2025 Accepting new patients
Washington Pain and Spine Specialists LLC Past Accepting new patients

Locations

4957 Lakemont Blvd SE
Ste C425
Bellevue, WA 98006

11812 N Creek Pkwy N
Ste 202
Bothell, WA 98011
Phone (425) 287-5500

3202 Colby Ave
Ste B
Everett, WA 98201
Phone (206) 895-1825

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

3305 Nassau St
Everett, WA 98201
Phone (206) 895-1825

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

3525 Ensign Rd NE
Ste J
Olympia, WA 98506
Phone (240) 463-4101

801 SW 16th St
Ste 121
Renton, WA 98057
Phone (206) 805-8885

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJBDDD
  • Direct secure messaging: yooni.park@3394.securemail.prognocis.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1205217353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-259-0966",
            "fax_number": "425-257-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HOYT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014988",
            "telephone_number": "425-259-0966",
            "fax_number": "425-257-1433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 164th St SE Ste P",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980126301",
            "country_code": "US",
            "telephone_number": "425-434-4231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2615 Willetta St SW Ste C2",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973213486",
            "country_code": "US",
            "telephone_number": "541-812-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11812 N Creek Pkwy N Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bothell",
            "state": "WA",
            "postal_code": "980118202",
            "country_code": "US",
            "telephone_number": "425-287-5500",
            "fax_number": "425-287-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "YOONI",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "201501210NP-PP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60798028",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201501210NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.