Organization Active NPI

Lotus Transformations, LLC

Doing business as Lotus Transformations

  • Massage Therapist
  • Moscow, ID
National Provider Identifier
1417663675
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
LOTUS TRANSFORMATIONS, LLC
Doing business as
Lotus Transformations
Practice address
619 S Washington St Ste 202
Moscow, ID 83843-3063
Phone
(208) 301-8557
Fax
(208) 882-6866
NPI assigned
Jan 30, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Danielle M Watson, LMPNPI 1346689783
Title
Owner
Phone
(208) 301-8557

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
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

619 S Washington St Ste 202
Moscow, ID 83843-3063

Mailing address

619 S Washington St Ste 202
Moscow, ID 83843-3063
Phone (208) 301-8557

Other identifiers 2

IdentifierTypeStateIssuer
1326689783OtherIDREGENCE
1346689783OtherIDREGENCE

Other names 1

  • Lotus Transformations Doing business as

National Provider Directory

National Provider Directory

Locations

619 S Washington St
Ste 202
Moscow, ID 83843
Phone (208) 310-3470

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1417663675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S WASHINGTON ST STE 202",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433063",
            "telephone_number": "208-301-8557",
            "fax_number": "208-882-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S WASHINGTON ST STE 202",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433063",
            "telephone_number": "208-301-8557",
            "fax_number": "208-882-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS TRANSFORMATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-301-8557",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1326689783",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1346689783",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Transformations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.