Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jungjoo Yi

Individual provider Nurse Practitioner · NPI 1083022123

Jungjoo Yi is a Nurse Practitioner in Puyallup, Washington. Qualified in 2014, 12 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
12
Licensed in
WA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

10217 125th Street Ct E
Puyallup, WA 98374-2761
Phone: (253) 864-4550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 16th Ave E, Seattle, WA 98112-5226 — (206) 326-3000

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AP60493638 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP60493638 (WA)

Record details

NPI number1083022123
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2014
Last updated in NPPESJune 24, 2021
Certification dateJune 24, 2021
Mailing address10217 125th Street Ct E, Puyallup, WA 98374-2761

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Puyallup