Individual provider Active NPI

Soo Mi Yoon, ARNP

  • Adult Health Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1679909733
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP60357611 Issued in WA
Practice address
1617 So JST
Tacoma, WA 98405
Phone
(233) 426-4604
NPI assigned
Sep 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP60357611 WA Primary

Addresses

Primary practice location

1617 So JST
Tacoma, WA 98405

Mailing address

1617 So JST
Tacoma, WA 98405
Phone (233) 426-4604

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140218002027 WA Practitioner - Nurse Practitioner 8426287368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Sound Neurosurgery PLLCGroup PAC ID 1254225899, 10 clinicians

Practice addresses (Care Compare)

1519 3Rd St SE
Suite 101
Puyallup, WA 98372-3742
Phone (253) 841-8939

Hospital & facility affiliations

  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079
  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Neurosurgery PLLC CurrentSince Aug 15, 2015 Accepting new patients
South Sound Neurosurgery PLLC CurrentSince Aug 15, 2015 Accepting new patients
Franciscan Health System Past Accepting new patients
Franciscan Health System Past Accepting new patients

Locations

1519 3rd St SE
Ste 101
Puyallup, WA 98372
Phone (253) 841-8939

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9932/brand/1/csg/1/fhir/r4
  • Direct secure messaging: soo.yoon.1@33199.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1679909733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 SO JST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "233-426-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 SO JST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "233-426-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "SOO",
        "middle_name": "MI",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60357611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.