JUNGJOO YI (NPI# 1083022123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083022123 |
| Entity Type | Individual |
| Full Name | JUNGJOO YI |
| Practice Address |
10217 125th Street Ct E Puyallup WA 98374-2761 |
| Practice Telephone | 2538644550 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2015-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP60493638 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP60493638 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10217 125TH STREET CT E |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437115789 | Surinder Kumar Singh | Internal Medicine | 10217 125th Street Ct E, Ct E 2nd Fl, Puyallup, WA 98374-2761 | 2006-04-25 |
| 1124659578 | Paige Marie Ourada | Physician Assistant | 10217 125th Street Ct E, Puyallup, WA 98374-2761 | 2020-02-03 |
| 1467965954 | Heather Buzbee | Nurse Practitioner | 10217 125th Street Ct E, Puyallup, WA 98374-2761 | 2017-11-07 |
| 1326474693 | Shannon S Farazi | Dentist | 10217 125th Street Ct E, Puyallup, WA 98374-2761 | 2013-09-18 |
| 1699036194 | Angelica Bejar Martinez | Family Medicine | 10217 125th Street Ct E, Puyallup, WA 98374-2761 | 2012-06-01 |
| 1164757332 | Cesar L Molina Sisimit | Counselor | 10217 125th Street Ct E, Court E, 2nd Floor, Puyallup, WA 98374-2761 | 2009-10-06 |
| 1376706804 | Jose Contreras | Counselor | 10217 125th Street Ct E, Court E, Puyallup, WA 98374-2761 | 2008-07-03 |
| 1013178037 | Sea-mar Community Health Center | Clinic/Center | 10217 125th Street Ct E, Court E, Puyallup, WA 98374-2761 | 2008-06-23 |
| 1053517763 | Daniel Millar | General Practice | 10217 125th Street Ct E, 3rd Floor, Puyallup, WA 98374-2761 | 2007-06-21 |
| 1528116480 | Sea-mar Community Health Center | Dentist | 10217 125th Street Ct E, 3rd Floor, Puyallup, WA 98374-2761 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730713348 | Terra Ann Mclain | Nurse Practitioner | 2803 Pilot Ln, Yakima, WA 98901-1022 | 2020-02-24 |
| 1437716032 | Julia Yang Chen | Nurse Practitioner | 16831 1st Ave W, Bothell, WA 98012-4961 | 2019-05-20 |
| 1699242651 | Patricia Fay Fitzhugh | Nurse Practitioner | 615 W 16th Ave, Spokane, WA 99203-2130 | 2018-10-29 |
| 1598240657 | Beibei Chen | Nurse Practitioner | 5801 223rd Pl Sw, Mountlake Terrace, WA 98043-3123 | 2018-09-25 |
| 1497203244 | Trina Koudelka | Nurse Practitioner | 3015 Squalicum Pkwy Ste 100, Bellingham, WA 98225-1906 | 2016-09-21 |
| 1255791414 | Quynh-anh Phan | Nurse Practitioner | 801 Sw 150th St Ste 230, Burien, WA 98166-1855 | 2016-03-02 |
| 1467836056 | Horizon Health Foundation | Nurse Practitioner | 123 W. Cascade Way, Spokane, WA 99208 | 2015-07-14 |
| 1578955910 | Esateys Stuchiner | Nurse Practitioner | 19410 Ne 116th St, Brush Prairie, WA 98606-3002 | 2015-02-23 |
| 1619377587 | Phiroce Ishaque, LLC | Nurse Practitioner | 5414 Barnes Ave Nw Ste 1, Seattle, WA 98107-3839 | 2014-08-28 |
| 1700217155 | Elisa Martin | Nurse Practitioner | 6025 Vassar Ave Ne, Seattle, WA 98115-7622 | 2013-12-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.