Lotus Integrated Care, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LOTUS INTEGRATED CARE, LLC

Practice address

654 S Walker St
Bloomington, IN 47403

Phone

(812) 369-4344

Fax

(812) 369-4314

NPI assigned

Jan 7, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Rebekah Moore, PMHNP-BC, FNP-C

Title

Pmhnp-BC, FNP-C

Phone

(812) 369-4344

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1750921870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 S WALKER ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47403",
            "telephone_number": "812-369-4344",
            "fax_number": "812-369-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 S WALKER ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47403",
            "telephone_number": "812-369-4344",
            "fax_number": "812-369-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS INTEGRATED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "PMHNP-BC, FNP-C",
        "authorized_official_telephone_number": "812-369-4344",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC, FNP-C"
    },
    "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": []
}

• Walter J Long, O.D
• Kriti Lonial
• Richard Paul Lookatch, PH.D.
• Elise Aubrey Lord, O.D
• Jennifer Bartlett Lorinsky-Simpson, LMHC
• Darcy Lee Lotz, PTA
• Jaime Loudenslager
• Autum Loughead, OTR
• Louise Miracle, PHD, HSPP, Inc.
• Jaylen Love, RBT

• Psychiatric/Mental Health Nurse Practitioner in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.