Illumination, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121000588 Issued in VA

Legal business name

ILLUMINATION, LLC

Doing business as

Lotus Acupuncture and Holistic Health Clinic

Practice address

1492 S Independence Blvd.
Ste 102
Virginia Beach, VA 23462-5252

Phone

(757) 431-0053

Fax

(757) 431-0053

NPI assigned

Apr 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jayne F Dabu, DAOM,L.AC., DIPL.AC.NPI 1801127519

Title

President

Phone

(757) 431-0053

Specialties & licenses 1

Addresses

Other names 1

• Lotus Acupuncture and Holistic Health Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jayne Dabu, DAOM,L.AC., DIPL.AC.

  • Acupuncturist
  • Virginia Beach, VA
  • NPI 1801127519
  NPD Authorized official
• Roger Bayer, DACM

  • Acupuncturist
  • Virginia Beach, VA
  • NPI 1265115661
  NPD

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1023428133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 S INDEPENDENCE BLVD.",
            "address_2": "STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625252",
            "telephone_number": "757-431-0053",
            "fax_number": "757-431-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S INDEPENDENCE BLVD.",
            "address_2": "STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625252",
            "telephone_number": "757-431-0053",
            "fax_number": "757-431-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "DABU",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-431-0053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAOM,L.AC., DIPL.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Acupuncture and Holistic Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caiden Ijames
• Tanya Petrova Ilieva
• Vladimir Alexander Ilin, MD
• Lauren E Illencik, ORT/L
• Jeffrey Joseph Illinik, PHYSICIAN ASSISTANT
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• Kavita D Imrit-Thomas, DO
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• In Home Health LLC (Heartland Home Health Care and Hospice)

• Acupuncturist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.