Your Health Network, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

YOUR HEALTH NETWORK, INC.

Doing business as

Evergreen Health Care

Practice address

9710 Patuxent Woods Dr
Suite 200
Columbia, MD 21046-1526

Phone

(301) 575-8080

NPI assigned

Dec 22, 2014

Organization subpart

Yes

Parent organization

YOUR HEALTH NETWORK, INC.As reported in NPPES

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

Authorized official

Name

Ms. Jessica L Kohnen

Title

Executive Director

Phone

(443) 451-4973

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Evergreen Health Care Doing business as

Part of

Your Health Network Inc

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1033517255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 FALLS RD",
            "address_2": "SUITE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 PATUXENT WOODS DR",
            "address_2": "SUITE 200",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461526",
            "telephone_number": "301-575-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HEALTH NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUR HEALTH NETWORK, INC.",
        "enumeration_date": "2014-12-22",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "KOHNEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-451-4973",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5354021",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shakia Young
• Suzette Young, CSC-AD, LGPC
• Tene O. Young, LGPC
• Youniversal Growth, LLC
• Your Health Network
• Your Health Network, Inc.
• Meng Yu
• Brenda Louise Yuen, LGPC
• Emili J Yun
• Hyo Cheon Yun

• Family Medicine Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.