Organization Active NPI

Lotus Blue Meridian Psychiatry, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1710801972
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LOTUS BLUE MERIDIAN PSYCHIATRY, PLLC
Practice address
250 W 1St St Ste 117
Winston Salem, NC 27101-4055
Phone
(336) 546-6249
NPI assigned
Aug 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

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

Authorized official

Name
Kimberly Dawson, NPNPI 1558875880
Title
Sole Member
Phone
(336) 844-3141

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

250 W 1St St Ste 117
Winston Salem, NC 27101-4055

Mailing address

357 Tortoise LN
Winston Salem, NC 27127-7005
Phone (336) 844-3141

National Provider Directory

National Provider Directory

Locations

250 W 1st St
Ste 117
Winston Salem, NC 27101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1786147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786147200000",
    "number": "1710801972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 TORTOISE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277005",
            "telephone_number": "336-844-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 1ST ST STE 117",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014055",
            "telephone_number": "336-546-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS BLUE MERIDIAN PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-08",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "336-844-3141",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2026; 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.