Individual provider Active NPI

Jessica Yoon, M.D.

  • Dermatology Physician
  • Longmont, CO
National Provider Identifier
1831352418
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0060211 Issued in CO
Practice address
1067 S Hover St Ste E
Longmont, CO 80501-7903
Phone
(720) 464-1011
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD171107 OR
Dermatology Physician 207N00000X DR.0060211 CO Primary
Dermatology Physician 207N00000X MD2017-0862 NM
Dermatology Physician 207N00000X C156843 CA
Dermatology Physician 207N00000X ME108361 FL

Addresses

Primary practice location

1067 S Hover St Ste E
Longmont, CO 80501-7903

Mailing address

1067 S Hover St Ste E
Longmont, CO 80501-7903
Phone (720) 464-1011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NM, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150630001379 OR Practitioner - Dermatology 8921284076 Reassigns benefits to 1 organization
I20171128001952 NM Practitioner - Dermatology 8921284076 Reassigns benefits to 1 organization
I20200713001531 CA Practitioner - Dermatology 8921284076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C156843CAMDDermatology Physician
DR.0060211COMDDermatology Physician
MD2017-0862NMMDDermatology Physician
MD171107ORMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Telehealth Specialty Medical Group CurrentSince Mar 28, 2020 Accepting new patients
Knott Street Dermatology PC CurrentSince May 1, 2015 Accepting new patients
Presbyterian Healthcare Services CurrentSince Feb 1, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Feb 1, 2024 Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients

Locations

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

301 NE Knott St
Portland, OR 97212
Phone (503) 253-2675

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFJBAA

Organizations & group practices 5

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1831352418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 S HOVER ST STE E",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017903",
            "telephone_number": "720-464-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 S HOVER ST STE E",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017903",
            "telephone_number": "720-464-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD171107",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0060211",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NM",
            "license": "MD2017-0862",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C156843",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME108361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.