Individual provider Active NPI

Jacqueline P Yoo, ARNP

  • Adult Health Nurse Practitioner
  • Burien, WA
National Provider Identifier
1386498780
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP61546551 Issued in WA
Practice address
16233 Sylvester Rd SW Ste 290
Burien, WA 98166-3067
Phone
(206) 431-9771
Fax
(206) 431-5484
NPI assigned
Apr 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 AP61546551 WA
Primary Care Nurse Practitioner 363LP2300X AP61546551 WA
Adult Health Nurse Practitioner 363LA2200X AP61546551 WA Primary

Addresses

Primary practice location

16233 Sylvester Rd SW Ste 290
Burien, WA 98166-3067

Mailing address

16233 Sylvester Rd SW Ste 290
Burien, WA 98166-3067
Phone (206) 431-9771

Other practice location 1

34503 9th Ave S Ste 130
Federal Way, WA 98003-8726
Phone (253) 835-5340

Other identifiers 1

IdentifierTypeStateIssuer
2285307MedicaidWA

Other names 1

  • Jacqueline P Green Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jyoo783129@fhsce.catholichealth.net Direct Franciscan Medical Group

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
I20240531003907 WA Practitioner - Nurse Practitioner 2769924059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

16233 Sylvester Rd SW
Suite 290
Burien, WA 98166-3067
Phone (206) 431-9771

Hospital & facility affiliations

  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141
  • Highline Medical Center Hospital, Burien, WA, CCN 500011
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61546551WAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince May 13, 2024 Accepting new patients
Franciscan Medical Group Past Accepting new patients
Franciscan Medical Group PastSince Apr 14, 2024 Accepting new patients

Locations

16233 Sylvester Rd SW
Ste 290
Burien, WA 98166
Phone (206) 431-9771

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1386498780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW STE 290",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663067",
            "telephone_number": "206-431-9771",
            "fax_number": "206-431-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW STE 290",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663067",
            "telephone_number": "206-431-9771",
            "fax_number": "206-431-5484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34503 9th Ave S Ste 130",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980038726",
            "country_code": "US",
            "telephone_number": "253-835-5340",
            "fax_number": "253-779-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOO",
        "first_name": "JACQUELINE",
        "middle_name": "P",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP61546551",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP61546551",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP61546551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2285307",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyoo783129@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16233 Sylvester Rd SW Ste 290",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981663067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "GREEN",
            "middle_name": "P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.