Organization Active NPI

Lotus Labs LLC

  • Health Service Clinic/Center
  • Hampton, VA
National Provider Identifier
1477204980
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LOTUS LABS LLC
Practice address
33 Calhoun St
Hampton, VA 23669-2434
Phone
(757) 438-7004
NPI assigned
Jan 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Veronica Charity Barnes, NP
Title
Ceo
Phone
(757) 438-7004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

33 Calhoun St
Hampton, VA 23669-2434

Mailing address

11747 Jefferson Ave Ste 6C
Newport News, VA 23606-1998
Phone (757) 438-7004

Other identifiers 1

IdentifierTypeStateIssuer
1902314651MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1477204980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11747 JEFFERSON AVE STE 6C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061998",
            "telephone_number": "757-438-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CALHOUN ST",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236692434",
            "telephone_number": "757-438-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "CHARITY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-438-7004",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902314651",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.