Sue Hae Sook Yoon, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

195793 Issued in MA

Practice address

1400 VFW Parkway. VA Boston Healthcare System
Pulmonary Clinic. GB 125
West Roxbury, MA 02132

Phone

(857) 203-6478

NPI assigned

Mar 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435449600000",
    "number": "1851350458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KELLY WAY",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212786",
            "telephone_number": "508-740-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VFW PARKWAY. VA BOSTON HEALTHCARE SYSTEM",
            "address_2": "PULMONARY CLINIC. GB 125",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "02132",
            "telephone_number": "857-203-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "SUE",
        "middle_name": "HAE SOOK",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2015-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "195793",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "195793",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "195793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael B Yaffe, M.D.
• Subbarao Venkata Yalla, M.D
• Bonnie Yezukevich, LICSW
• Amerlie Yi
• Allan W Yiu, BSC
• Ai Lin Yu
• Hongbo Yu, MD
• Matthew Yuyun
• Martin H Zafran, LICSW
• Inara E. Zalitis, DDS

• Adult Health Nurse Practitioner in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2015; 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.