Holly Integrated Medicine,LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

HOLLY INTEGRATED MEDICINE,LLC

Practice address

9520A Route 29
Fairfax, VA 22031-2303

Phone

(571) 232-4976

Fax

(703) 297-8179

NPI assigned

Jan 5, 2026

Last updated

Jan 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haoyun Wang, OM

Title

Manager

Phone

(571) 232-4976

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Haoyun W Park, L.AC

  • Acupuncturist
  • Vienna, VA
  • NPI 1720259161
  NPD

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

{
    "created_epoch": "1767571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1073470829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8883 OLIVE MAE CIR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311479",
            "telephone_number": "571-232-4976",
            "fax_number": "703-297-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520A ROUTE 29",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312303",
            "telephone_number": "571-232-4976",
            "fax_number": "703-297-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY INTEGRATED MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-05",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "HAOYUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "571-232-4976",
        "authorized_official_credential": "OM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Friedl Holley
• Donisha Shawnetta Holley, MSW, LCSW
• Susan Sundstrom Hollingsworth, CCC-SLP
• Zachary T Hollis, M.D.
• Rebecca Anne Hollow
• Courtney Ann Holmberg
• Chelsea Nicole Holmes, LPC
• Lauren Mary Holmes
• Brett F Holt, M.D.
• Wendy Nicole Holt, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.