Organization Active NPI

Lotus Wellness LLC

  • Behavior Technician
  • Phoenix, AZ
National Provider Identifier
1487347175
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
LOTUS WELLNESS LLC
Practice address
3877 N 7TH St Ste 150
Phoenix, AZ 85014-5086
Phone
(301) 583-6813
NPI assigned
May 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Alex Kasibante
Title
Ceo
Phone
(301) 583-6813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

3877 N 7TH St Ste 150
Phoenix, AZ 85014-5086

Mailing address

3877 N 7TH St Ste 150
Phoenix, AZ 85014-5086
Phone (301) 583-6813

National Provider Directory

National Provider Directory

Locations

3877 N 7th St
Ste 150
Phoenix, AZ 85014
Phone (301) 583-6813

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1487347175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3877 N 7TH ST STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145086",
            "telephone_number": "301-583-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3877 N 7TH ST STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145086",
            "telephone_number": "301-583-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "KASIBANTE",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-583-6813"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

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