Active NPI
Lotus Health Arizona
- Adult Mental Health Clinic/Center
- Tempe, AZ
National Provider Identifier
1922638055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- LOTUS HEALTH ARIZONA
- Practice address
- 2600 E Southern Ave Ste I3
Tempe, AZ 85282-7738 - Phone
- (603) 957-0540
- NPI assigned
- Jan 16, 2020
- Last updated
- Jan 16, 2020
- 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
- Miss Donisha Dawn Pardue, FNP-BC, PMHNP-BC
- Title
- Owner, Ceo
- Phone
- (603) 957-0540
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | NU | Primary |
Addresses
Primary practice location
2600 E Southern Ave Ste I3
Tempe, AZ 85282-7738
Mailing address
3545 W Mauna Loa LN
Phoenix, AZ 85053-4653
Phone (603) 957-0540
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1902052954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579132800000",
"number": "1922638055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 W MAUNA LOA LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850534653",
"telephone_number": "603-957-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 E SOUTHERN AVE STE I3",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827738",
"telephone_number": "603-957-0540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS HEALTH ARIZONA",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-16",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A",
"authorized_official_last_name": "PARDUE",
"authorized_official_first_name": "DONISHA",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "OWNER, CEO",
"authorized_official_telephone_number": "603-957-0540",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "FNP-BC, PMHNP-BC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.