Individual provider Active NPI

Jocelyn J Cooper, MD

  • Allergy & Immunology Physician
  • Snoqualmie, WA
National Provider Identifier
1407485105
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD61334297 Issued in WA
Practice address
35020 SE Kinsey St Ste a
Snoqualmie, WA 98065-8992
Phone
(425) 396-7682
Fax
(425) 396-7684
NPI assigned
Apr 4, 2020
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD61334297 WA Primary

Addresses

Primary practice location

35020 SE Kinsey St Ste a
Snoqualmie, WA 98065-8992

Mailing address

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2300

Other practice location 1

9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2300

Other practice location 2

712 SW Mt Si Blvd
North Bend, WA 98045-8990
Phone (425) 831-2300

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319001194 WA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 3870916257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
George Washington University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

35020 SE Kinsey St
Snoqualmie, WA 98065-8992
Phone (425) 396-7682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61334297WAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 4, King County Wa CurrentSince Mar 10, 2025 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Mar 10, 2025 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Nov 23, 2025 Accepting new patients
Public Hospital District No 4 King County Washington PastSince Aug 3, 2025 Accepting new patients
Public Hospital District No 4 King County Washington Allergy & Immunology PastSince Mar 24, 2025 Accepting new patients

Locations

35020 SE Kinsey St
Snoqualmie, WA 98065
Phone (425) 396-7682

35020 SE Kinsey St
Ste A
Snoqualmie, WA 98065
Phone (425) 396-7682

9801 Frontier Ave SE
Snoqualmie, WA 98065
Phone (425) 831-2300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1407485105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 FRONTIER AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980655200",
            "telephone_number": "425-831-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35020 SE KINSEY ST STE A",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980658992",
            "telephone_number": "425-396-7682",
            "fax_number": "425-396-7684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9801 Frontier Ave SE",
            "address_purpose": "LOCATION",
            "city": "Snoqualmie",
            "state": "WA",
            "postal_code": "980655200",
            "country_code": "US",
            "telephone_number": "425-831-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "712 SW Mt Si Blvd",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "WA",
            "postal_code": "980458990",
            "country_code": "US",
            "telephone_number": "425-831-2300",
            "fax_number": "425-831-2361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JOCELYN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WA",
            "license": "MD61334297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, WA

Sources for this page

Verify at the official NPI Registry.