Lotus Family Health & Wellness, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD2004-0550 Issued in NM

Legal business name

LOTUS FAMILY HEALTH & WELLNESS, LLC

Practice address

4504 4TH St NW Ste a
Albuquerque, NM 87107-3956

Phone

(505) 896-1222

Fax

(505) 896-1444

NPI assigned

Dec 7, 2015

Last updated

Apr 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yvonne Vanarsdale-Imani, M.D.NPI 1861497901

Title

Owner

Phone

(505) 896-1222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

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.

• Yvonne D Vanarsdale-Imani, MD

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1861497901
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1780059469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12231 ACADEMY RD NE",
            "address_2": "STE 301-117",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117236",
            "telephone_number": "505-896-1222",
            "fax_number": "505-896-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 4TH ST NW STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073956",
            "telephone_number": "505-896-1222",
            "fax_number": "505-896-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS FAMILY HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "VANARSDALE-IMANI",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-896-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "MD2004-0550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron David Losey, M.D., M.S.
• Jenny Elizabeth Loshbaugh, CNM
• Lost Continent Enterprises, LLC (Raylah Etlantus, LPCC)
• Lindsay Morgan Lott
• Lotus Behavioral Health LLC
• Elizabeth Lotz
• Valerie Lotz, RN
• Christopher Swain Loucks, M.D.
• Michele Stacey Loudon, RPH
• Todd Loudon

• Primary Care Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Primary Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.