Lotus Wellness Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LOTUS WELLNESS INC

Practice address

4185 E 200 N
Rigby, ID 83442-5975

Phone

(208) 881-4619

NPI assigned

Jan 23, 2025

Organization subpart

No

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

Authorized official

Name

Callie Henderson

Title

President

Phone

(208) 881-4619

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1326850512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 E 200 N",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425975",
            "telephone_number": "208-881-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 E 200 N",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425975",
            "telephone_number": "208-881-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CALLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-881-4619"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Bryn Larson, M.S., CCC-SLP
• Kathy Lebaron, L.M., C.P.M
• Richard Garrett Lee, MD
• Life Center for Change
• Braden Lott, DPT
• Julie Kaye Macki
• Madison Co Memorial Hospital
• Mark L. Peterson
• Tracy A McCuistion, D.C.
• Trent Robert McGary, D.P.T.

• Case Management Agency in Rigby, ID
• Providers in Rigby, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.