Organization Active NPI

Lotus Family Care PLLC

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1811605678
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Tyanne Tuyen Van, DNPNPI 1952808800
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20230907001553 AZ Part B Supplier - Clinic/Group Practice 6305200585 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2285904Lotus Family Care1901 W Warner Rd Ste 3, Chandler, AZ 85224Certificate of waiverJul 18, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.