Organization Active NPI

Sacred Lotus Acupuncture, LLC

  • Acupuncturist
  • Vienna, VA
National Provider Identifier
1184926826
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SACRED LOTUS ACUPUNCTURE, LLC
Practice address
2106 Gallows Rd Ste E2
Vienna, VA 22182-3961
Phone
(703) 639-0900
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Jennifer E. Yeh, LAC.NPI 1467904854
Title
Owner
Phone
(703) 639-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

2106 Gallows Rd Ste E2
Vienna, VA 22182-3961

Mailing address

2106 Gallows Rd Ste E2
Vienna, VA 22182-3961
Phone (703) 639-0900

National Provider Directory

National Provider Directory

Locations

2106 Gallows Rd
Ste E2
Vienna, VA 22182
Phone (703) 639-0900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1184926826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 GALLOWS RD STE E2",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823961",
            "telephone_number": "703-639-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 GALLOWS RD STE E2",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823961",
            "telephone_number": "703-639-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED LOTUS ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "YEH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-639-0900",
        "authorized_official_credential": "LAC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.