Organization Active NPI

Lotus Health Arizona

  • Adult Mental Health Clinic/Center
  • Tempe, AZ
National Provider Identifier
1922638055
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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-BCNPI 1902052954
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.