Organization Active NPI

The Lotus Glow, PLLC

  • Family Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1972457257
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
THE LOTUS GLOW, PLLC
Practice address
4711 N Brady St Ste 22S
Davenport, IA 52806-3976
Phone
(563) 366-8214
NPI assigned
Feb 24, 2026
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Ms. Tasia Stewart, APRN, FNP-BC
Title
Nurse Practitioner
Phone
(563) 366-8214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

4711 N Brady St Ste 22S
Davenport, IA 52806-3976

Mailing address

4711 N Brady St Ste 22S
Davenport, IA 52806-3976
Phone (563) 366-8214

National Provider Directory

National Provider Directory

Locations

4711 N Brady St
Ste 22S
Davenport, IA 52806
Phone (563) 366-8214

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1972457257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 N BRADY ST STE 22S",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528063976",
            "telephone_number": "563-366-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 N BRADY ST STE 22S",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528063976",
            "telephone_number": "563-366-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOTUS GLOW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "TASIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "563-366-8214",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.