Active NPI
Jacqueline P Yoo, ARNP
- Adult Health Nurse Practitioner
- Burien, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP61546551
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2285307 | Medicaid | WA |
Other names 1
- Jacqueline P Green
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Highline Medical Center
- St Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61546551 | WA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients | |
| Franciscan Medical Group | Past | 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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
-
- Neurological Surgery Physician
- Federal Way, WA
- NPI 1386857530
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Burien, WA
- NPI 1558333682
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.
- 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.