Joo Family Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

JOO FAMILY CLINIC LLC

Practice address

22618 Highway 99 Ste 106
Edmonds, WA 98026-8395

Phone

(425) 409-9247

NPI assigned

Oct 12, 2012

Organization subpart

No

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

Authorized official

Name

Misook Joo, NPNPI 1598011371

Title

DNP

Phone

(425) 409-9247

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Joo Family Clinic Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Misook Joo, NP

  • Family Nurse Practitioner
  • Edmonds, WA
  • NPI 1598011371
  Medicare reassignment Care Compare group NPD Authorized official
• Gaeun Song

  • Family Nurse Practitioner
  • Edmonds, WA
  • NPI 1164259933
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564790400000",
    "number": "1336491570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22618 HIGHWAY 99 STE 106",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268395",
            "telephone_number": "425-409-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22618 HIGHWAY 99 STE 106",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268395",
            "telephone_number": "425-409-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOO FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2019-08-03",
        "status": "A",
        "authorized_official_last_name": "JOO",
        "authorized_official_first_name": "MISOOK",
        "authorized_official_title_or_position": "DNP",
        "authorized_official_telephone_number": "425-409-9247",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336491570",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EDMONDS",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "22618 Highway 99 Ste 106",
            "city": "Edmonds",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980268395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Joo Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anastasia Deanna Jones, N.D.
• Jason Michael Jones, LMP
• Jean Marie Jones, A.R.N.P.
• Leah M Jones
• Lynn Van Houweling Jones, MA
• Misook Joo, NP
• Paul E. Jordan, PSY.D.
• Demetrio Arsenio Jose, LMP
• Joseph Albert DDS PLLC
• Joseph S. Vizzard, PH.D., P.S,

• Primary Care Clinic/Center in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.