NPIMap

Organization Active NPI

Lotus Wellness & Weight Loss LLC

  • Family Medicine Physician
  • Belen, NM
National Provider Identifier
1114796893
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOTUS WELLNESS & WEIGHT LOSS LLC
Practice address
320 N Main St
Belen, NM 87002-3716
Phone
(505) 361-1167
Fax
(505) 361-1167
NPI assigned
Dec 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Authorized official

Name
Kelly S Lopez, FNP-CNPI 1861855785
Title
Owner
Phone
(623) 910-2777

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

320 N Main St
Belen, NM 87002-3716

Mailing address

320 N Main St
Belen, NM 87002-3716
Phone (505) 361-1167

National Provider Directory

National Provider Directory

Locations

320 N Main St
Belen, NM 87002
Phone (505) 361-1167

Practitioners & affiliated clinicians

Practitioners 1

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": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1114796893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N MAIN ST",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023716",
            "telephone_number": "505-361-1167",
            "fax_number": "505-361-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAIN ST",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870023716",
            "telephone_number": "505-361-1167",
            "fax_number": "505-361-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS WELLNESS & WEIGHT LOSS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-910-2777",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.