Individual provider Active NPI

Janey S Yoo, MS RDN CD

  • Registered Dietitian
  • Seattle, WA
National Provider Identifier
1740415660
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI60102896 Issued in WA
Practice address
1229 Madison St Ste 750
Seattle, WA 98104
Phone
(206) 386-2101
Fax
(206) 386-2555
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI60102896 WA Primary

Addresses

Primary practice location

1229 Madison St Ste 750
Seattle, WA 98104

Mailing address

1415 140TH Ave NE Apt B
Bellevue, WA 98005-4523

Other practice location 1

3002 SW Graham St
Seattle, WA 98126-3116
Phone (215) 896-4388

Other practice location 2

3002 SW Graham St
Seattle, WA 98126-3116
Phone (215) 896-4388

Other practice location 3

3002 SW Graham St
Seattle, WA 98126-3116
Phone (215) 896-4388

Other practice location 4

1229 Madison St Ste 750
Seattle, WA 98104-3540
Phone (206) 386-2101

Other practice location 5

1229 Madison St Ste 750
Seattle, WA 98104
Phone (206) 386-2101

Other identifiers 1

IdentifierTypeStateIssuer
1740415660MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190516001838 WA Practitioner - Registered Dietitian Or Nutrition Professional 7315280229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 W Brown Rd
Mesa, AZ 85201-3202

PO Box
Suite 741742
Los Angeles, CA 90074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DI60102896WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Dec 4, 2023 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Dec 4, 2023 Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

4200 E Camelback Rd
Ste 202
Phoenix, AZ 85018
Phone (602) 229-2150

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

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.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1740415660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 140TH AVE NE APT B",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST STE 750",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-386-2101",
            "fax_number": "206-386-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3002 SW Graham St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981263116",
            "country_code": "US",
            "telephone_number": "215-896-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3002 SW Graham St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981263116",
            "country_code": "US",
            "telephone_number": "215-896-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3002 SW Graham St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981263116",
            "country_code": "US",
            "telephone_number": "215-896-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1229 Madison St Ste 750",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043540",
            "country_code": "US",
            "telephone_number": "206-386-2101",
            "fax_number": "206-386-2555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1229 Madison St Ste 750",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98104",
            "country_code": "US",
            "telephone_number": "206-386-2101",
            "fax_number": "206-386-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOO",
        "first_name": "JANEY",
        "middle_name": "S",
        "credential": "MS RDN CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60102896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740415660",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.