Rhea Kim, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121001169 Issued in VA

Practice address

9685 Main St Ste C
Fairfax, VA 22031-3752

Phone

(571) 301-9661

NPI assigned

Aug 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revival Acupuncture Clinic LLC

  • Acupuncturist
  • Fairfax, VA
  • NPI 1023825999
  NPD Authorized official
• Beyond Acupuncture, LLC

  • Acupuncturist
  • McLean, VA
  • NPI 1174127799
  NPD

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783209600000",
    "number": "1821829219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9685 MAIN ST STE C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313752",
            "telephone_number": "301-747-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9685 MAIN ST STE C",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313752",
            "telephone_number": "571-301-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RHEA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2026-07-05",
        "certification_date": "2026-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121001169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mina Kim, PHARM.D
• Mina Kim
• NA Young Kim, PHARMD
• Patricia Kim, PH.D.
• Rebekah Kim, M.D.
• Rochelle Kim, MA, RD
• Sara Kim
• Stephen S Kim, M.D.
• Suk Young Kim
• Theodore Tae-Hun Kim, M.D.

• 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 Jul 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.