Individual provider Active NPI

Yong Ki Yi

  • Acupuncturist
  • Edmonds, WA
National Provider Identifier
1649464512
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00000694 Issued in WA
Practice address
22618 Hwy 99
#107
Edmonds, WA 98026-8395
Phone
(425) 778-7771
Fax
(425) 778-5770
NPI assigned
Sep 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00000694 WA Primary
Acupuncturist 171100000X AC6718 CA
Acupuncturist 171100000X 0121000183 VA

Addresses

Primary practice location

22618 Hwy 99
#107
Edmonds, WA 98026-8395

Mailing address

22618 Hwy 99
#107
Edmonds, WA 98026-8395
Phone (425) 778-7771

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
AC6718CAMDAcupuncturist
0121000183VAMDAcupuncturist
AC00000694WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Acupuncture & Herb Clinic CurrentSince Oct 17, 2021 Accepting new patients

Locations

1640 S 318th Pl
Ste D
Federal Way, WA 98003
Phone (206) 592-2323

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1649464512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22618 HWY 99",
            "address_2": "#107",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268395",
            "telephone_number": "425-778-7771",
            "fax_number": "425-778-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22618 HWY 99",
            "address_2": "#107",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268395",
            "telephone_number": "425-778-7771",
            "fax_number": "425-778-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "YONG KI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000694",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6718",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.