Active NPI
Lotus Holistic Healthcare
- Community/Behavioral Health Agency
- Queen Creek, AZ
National Provider Identifier
1083432686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LOTUS HOLISTIC HEALTHCARE
- Practice address
- 22424 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7026 - Phone
- (602) 492-7632
- NPI assigned
- Oct 1, 2024
- Last updated
- Dec 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Ann Smith
- Title
- Business Manager
- Phone
- (602) 492-7632
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
22424 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7026
Mailing address
22424 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7026
Phone (602) 492-7632
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- San Tan Vly, AZ
- NPI 1346071966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734825600000",
"number": "1083432686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22424 S ELLSWORTH LOOP RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851427026",
"telephone_number": "602-492-7632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22424 S ELLSWORTH LOOP RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851427026",
"telephone_number": "602-492-7632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS HOLISTIC HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-01",
"last_updated": "2024-12-22",
"certification_date": "2024-12-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MARY ANN",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "602-492-7632"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.