Active NPI
Lotus Family Care PLLC
- Family Nurse Practitioner
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- LOTUS FAMILY CARE PLLC
- Practice address
- 1901 W Warner Rd Ste 3
Chandler, AZ 85224-2634 - Phone
- (602) 617-8390
- NPI assigned
- Nov 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyanne Tuyen Van, DNP
- Title
- Owner
- Phone
- (602) 617-8390
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1901 W Warner Rd Ste 3
Chandler, AZ 85224-2634
Mailing address
1901 W Warner Rd Ste 3
Chandler, AZ 85224-2634
Phone (602) 617-8390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2285904 | Lotus Family Care | Certificate of waiver | Jul 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
1901 W Warner Rd
Ste 3
Chandler, AZ 85224
Phone (480) 407-2023
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": "1668038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689033600000",
"number": "1811605678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W WARNER RD STE 3",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242634",
"telephone_number": "602-617-8390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W WARNER RD STE 3",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242634",
"telephone_number": "602-617-8390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS FAMILY CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-10",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A",
"authorized_official_last_name": "VAN",
"authorized_official_first_name": "TYANNE",
"authorized_official_middle_name": "TUYEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-617-8390",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.