Lotus Psychiatric Center, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LOTUS PSYCHIATRIC CENTER, LLC

Practice address

275 Jackson Meadows Dr Ste 206
Hermitage, TN 37076-1453

Phone

(615) 235-6017

NPI assigned

May 8, 2023

Reactivated

Dec 24, 2024

Organization subpart

No

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

Authorized official

Name

Angela Tidwell Janicek, APRN, PMHNP-BCNPI 1740949668

Title

Psychiatric Nurse Practitioner

Phone

(615) 235-6017

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Tidwell Janicek, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Goodlettsville, TN
  • NPI 1740949668
  NPD Authorized official
• Taylor Newsom

  • Psychiatric/Mental Health Nurse Practitioner
  • Hermitage, TN
  • NPI 1013607332
  NPD

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1134819824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 JACKSON MEADOWS DR STE 206",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 JACKSON MEADOWS DR STE 206",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761453",
            "telephone_number": "615-235-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS PSYCHIATRIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-12-24",
        "certification_date": "2023-05-08",
        "deactivation_date": "2024-09-24",
        "reactivation_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "JANICEK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "TIDWELL",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "615-235-6017",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheena Lockhart
• Claire Stanford Logan, D.D.S.
• Brandon Davis Lokey, M.D.
• Taura L Long, MD
• Jessica Lorenzo
• Jessica Conklin Louverture, MA
• Love Care Health Services LLC
• Casey Lowrance, D.O.
• Lunceford Primary Care, PLLC
• Tori D Lurie, M.A.

• Psychiatric/Mental Health Nurse Practitioner in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

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