White Lotus Aesthetics & Wellness, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

WHITE LOTUS AESTHETICS & WELLNESS, LLC

Practice address

1855 Fairgrounds Rd NE
Salem, OR 97301-7132

Phone

(503) 400-7570

NPI assigned

Mar 7, 2024

Organization subpart

No

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

Authorized official

Name

Kristi Winn, FNPNPI 1295497899

Title

Owner

Phone

(503) 400-7570

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kristi Winn, FNP

  • Nurse Practitioner
  • Gresham, OR
  • NPI 1295497899
  NPD Authorized official

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1144088824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 FAIRGROUNDS RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017132",
            "telephone_number": "503-400-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 FAIRGROUNDS RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017132",
            "telephone_number": "503-400-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE LOTUS AESTHETICS & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "WINN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-400-7570",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Wheaton, Q.M.H.A.
• Melanie Sue Wheeler
• Bradley Alan Whetstone, D.C.
• Brady K Whetten, PT, DPT, GCS
• Lisa Veronica Whistler, CADCI, QMHA
• Amanda White
• Elizabeth White
• Hannah White
• Kathleen White
• Laura White

• Primary Care Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Primary Care Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.