Individual provider Active NPI

Young Nam Yoo

  • Radiologic Technologist
  • Auburn, WA
National Provider Identifier
1598160285
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
603394190 Issued in WA
Practice address
28705 34TH Ave S
Apt K106
Auburn, WA 98001
Phone
(206) 946-5014
NPI assigned
Oct 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X 603394190 WA Primary

Addresses

Primary practice location

28705 34TH Ave S
Apt K106
Auburn, WA 98001

Mailing address

28705 34TH Ave S Apt K106
Auburn, WA 98001-1039
Phone (206) 946-5014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
603394190WAMDRadiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1598160285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28705 34TH AVE S APT K106",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980011039",
            "telephone_number": "206-946-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28705 34TH AVE S",
            "address_2": "APT K106",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "98001",
            "telephone_number": "206-946-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "YOUNG NAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "WA",
            "license": "603394190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.