SL Holistic Services LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

SL HOLISTIC SERVICES LLC

Doing business as

Medici NOVA Wellness Care

Practice address

4216 Evergreen LN Ste 121
Annandale, VA 22003-3256

Phone

(703) 939-1722

NPI assigned

Aug 6, 2025

Organization subpart

No

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

Authorized official

Name

Yeimi Marcela Lapham

Title

Administrator

Phone

(703) 989-6849

Specialties & licenses 1

Addresses

Other names 1

• Medici NOVA Wellness Care Doing business as

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

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1457236994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2371",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220310371",
            "telephone_number": "703-989-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 EVERGREEN LN STE 121",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033256",
            "telephone_number": "703-939-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SL HOLISTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "LAPHAM",
        "authorized_official_first_name": "YEIMI",
        "authorized_official_middle_name": "MARCELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-989-6849"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medici NOVA Wellness Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gynecology Physician in Annandale, VA
• Providers in Annandale, VA by specialty
• Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.