Misook Joo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60302041 Issued in WA

Practice address

22618 Highway 99 Ste 106
Edmonds, WA 98026-8395

Phone

(425) 409-9247

Fax

(206) 535-2442

NPI assigned

Jul 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Misook Lee Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Joo Family Clinic LLCGroup PAC ID 9335390368, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kk@joofamilyclinic.kareodirect.com

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.

• Joo Family Clinic LLC

  • Primary Care Clinic/Center
  • Edmonds, WA
  • NPI 1336491570
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1598011371",
    "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",
            "fax_number": "206-535-2442"
        },
        {
            "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",
            "fax_number": "206-535-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOO",
        "first_name": "MISOOK",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "WA",
            "license": "AP60302041",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60302041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AP60302041",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Edmonds",
            "affiliation": "N",
            "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": [
        {
            "first_name": "MISOOK",
            "last_name": "LEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason Michael Jones, LMP
• Jean Marie Jones, A.R.N.P.
• Leah M Jones
• Lynn Van Houweling Jones, MA
• Joo Family Clinic LLC
• Paul E. Jordan, PSY.D.
• Demetrio Arsenio Jose, LMP
• Joseph Albert DDS PLLC
• Joseph S. Vizzard, PH.D., P.S,
• Joyce E Lee DPM PLLC

• Family Nurse Practitioner in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.

Verify at the official NPI Registry.