Jiwoong Yoo, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NC60874799 Issued in WA

Practice address

511 10TH Ave SE
Puyallup, WA 98372

Phone

(253) 845-7566

NPI assigned

Jul 12, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553904000000",
    "number": "1427534494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6118 40TH STREET CT E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242383",
            "telephone_number": "253-259-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 10TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98372",
            "telephone_number": "253-845-7566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4347 S Union Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984094526",
            "country_code": "US",
            "telephone_number": "253-475-3702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOO",
        "first_name": "JIWOONG",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2019-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "NC60874799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Yeung, OD
• Jungjoo Yi
• Janet Anne Yoest, R.N.
• Amy Ha-Eun Yoo
• Iris Jin Yoo, PA-C
• Bryn Zachary Yoshida, DPT
• Gianna Young, LMHCA
• Jake Walter Young, DPT
• Jayden Marie Young, DPT
• Mindi L Young, LMP

• Nurse's Aide in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Nurse's Aide in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.