Jennifer Bailing Yen, LICENSE ACUPUNCTURE

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U02874 Issued in MD

Practice address

14043 Marketcenter Dr
Clarksburg, MD 20871-6343

Phone

(301) 500-9367

NPI assigned

Jan 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Bailing Yen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

• Family Integrative Health & Urgent Care

  • Acupuncturist
  • Clarksburg, MD
  • NPI 1174388011
  NPD Authorized official

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1205588902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLESSINGACUPUNCTURE@GMAIL.COM",
            "address_2": "14043 MARKETCENTER DR.",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "20871",
            "telephone_number": "301-500-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14043 MARKETCENTER DR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208716343",
            "telephone_number": "301-500-9367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8927 Fingerboard Rd",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217048164",
            "country_code": "US",
            "telephone_number": "301-874-0031",
            "fax_number": "855-644-3623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "451 Hungerford Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208504495",
            "country_code": "US",
            "telephone_number": "301-500-9367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEN",
        "first_name": "JENNIFER",
        "middle_name": "BAILING",
        "credential": "LICENSE ACUPUNCTURE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "U02874",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "YEN",
            "middle_name": "BAILING",
            "credential": "LAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael David Wagner, MS, RN, CNP, PMHNPBC
• Latascha Patrice Washington, LCSW-C
• Joseph Peter Wilson, L.C.S.W.-C.
• Daniel Woldetensay
• Nancy Wolfson, MPT
• Yohi Group LLC
• Anthony Yu

• Acupuncturist in Clarksburg, MD
• Providers in Clarksburg, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.