Active NPI
Lotus Transformations, LLC
Doing business as Lotus Transformations
- Massage Therapist
- Moscow, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle M Watson, LMP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326689783 | Other | ID | REGENCE |
| 1346689783 | Other | ID | REGENCE |
Other names 1
- Lotus Transformations
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Moscow, ID
- NPI 1346689783
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.