The Lounge Holdings LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

THE LOUNGE HOLDINGS LLC

Doing business as

The Lounge Aesthetics and Wellness

Practice address

185 SW Shevlin Hixon Dr Ste 101
Bend, OR 97702-3263

Phone

(541) 236-2282

NPI assigned

May 24, 2024

Last updated

May 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leela StuartNPI 1295668978

Title

Owner

Phone

(530) 570-1814

Specialties & licenses 1

Addresses

Other names 1

• The Lounge Aesthetics and Wellness Doing business as

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.

• Leela Stuart, PMHNP

  • Procedural Dermatology Physician
  • Bend, OR
  • NPI 1295668978

  Multi-Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1083454318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SW SHEVLIN HIXON DR STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023263",
            "telephone_number": "541-236-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 SW SHEVLIN HIXON DR STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023263",
            "telephone_number": "541-236-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOUNGE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "LEELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-570-1814"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lounge Aesthetics and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Bend, OR
• Providers in Bend, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.