Organization Active NPI

Lotus Natural Family Medicine, PLLC

  • Naturopath
  • Vancouver, WA
National Provider Identifier
1013617513
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
LOTUS NATURAL FAMILY MEDICINE, PLLC
Practice address
811 NE 112TH Ave Ste 106
Vancouver, WA 98684-5115
Phone
(360) 207-5178
Fax
(888) 797-6301
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Dr. Heidi Renee Codino, NDNPI 1407422512
Title
Co-Owner
Phone
(360) 207-5178

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
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

811 NE 112TH Ave Ste 106
Vancouver, WA 98684-5115

Mailing address

811 NE 112TH Ave Ste 106
Vancouver, WA 98684-5115
Phone (360) 207-5178

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1013617513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 NE 112TH AVE STE 106",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845115",
            "telephone_number": "360-207-5178",
            "fax_number": "888-797-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 NE 112TH AVE STE 106",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845115",
            "telephone_number": "360-207-5178",
            "fax_number": "888-797-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS NATURAL FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "CODINO",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "360-207-5178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.