Organization Active NPI

Serenity Acupuncture and Healing LLC

  • Acupuncturist
  • Herndon, VA
National Provider Identifier
1366245086
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SERENITY ACUPUNCTURE AND HEALING LLC
Practice address
1035 Sterling Rd Ste 101
Herndon, VA 20170-3838
Phone
(703) 593-6501
NPI assigned
Mar 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Lan Gao, LAN GAONPI 1669275418
Title
Licensed Acupuncture
Phone
(703) 593-6501

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

1035 Sterling Rd Ste 101
Herndon, VA 20170-3838

Mailing address

12805 Netherleigh PL
Herndon, VA 20171-4222
Phone (703) 955-7698

National Provider Directory

National Provider Directory

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": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1366245086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 NETHERLEIGH PL",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714222",
            "telephone_number": "703-955-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 STERLING RD STE 101",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703838",
            "telephone_number": "703-593-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY ACUPUNCTURE AND HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "GAO",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "LICENSED ACUPUNCTURE",
        "authorized_official_telephone_number": "703-593-6501",
        "authorized_official_credential": "LAN GAO"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.