LOTUS INTEGRATED CARE, LLC


Address: 654 S Walker St, Bloomington, IN 47403-2159
Phone: 8126062869

LOTUS INTEGRATED CARE, LLC (NPI# 1750921870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750921870
Entity Type Organization
Organization Name LOTUS INTEGRATED CARE, LLC
Practice Address 654 S Walker St
Bloomington
IN 47403-2159
Mailing Address 2761 E Cove Ct
Bloomington
IN 47401-8189
Practice Telephone 8126062869
Mailing Telephone 8126062869
Enumeration Date 2020-01-07
Last Update Date 2020-01-07
Authorized Official Name MRS. REBEKAH MOORE (PMHNP-BC, FNP-C)
Authorized Official Telephone 8126062869
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 654 S WALKER ST
City BLOOMINGTON
State IN
Zip Code 47403-2159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922093137 Robert William Richey Obstetrics & Gynecology 654 S Walker St, Bloomington, IN 47403-2159 2005-09-14
1295765634 Gynecology Associates, PC Obstetrics & Gynecology 654 S Walker St, Bloomington, IN 47403-2159 2006-07-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783673 Brook Whitaker Registered Nurse 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 2019-01-07
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
1679870232 Accurate Hearing Services Clinic/Center 1355 W Second St, #3, Bloomington, IN 47403 2011-02-17
Find all providers in zip 47403

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134780851 Eric Lyakhovetsky Nurse Practitioner 327 W Saidah Rd, Bloomington, IN 47404-8965 2019-06-24
1477822344 Wenjing Cao Nurse Practitioner 108 W. Market, Bloomington, IL 61701 2011-12-22
1679684203 Colleen S Odonnell Nurse Practitioner 1603 W Old Shakopee Rd, Bloomington, MN 55431-3065 2006-08-31
1558970517 Randy Bargo Nurse Practitioner 3600 N Prow Rd, Bloomington, IN 47404-1616 2020-07-27
1033768569 Amanda Lavender Nurse Practitioner 727 W 2nd St, Bloomington, IN 47403-2209 2019-09-07
1396215786 Hui Shi Serena Loh Nurse Practitioner 3600 N Prow Rd, Bloomington, IN 47404-1616 2018-11-28
1922583285 Bettina Ervin-rodgers Nurse Practitioner 108 W Market St, Bloomington, IL 61701-3918 2018-10-02
1710479753 Kevin Nelson Moore Nurse Practitioner 550 S Adams St, Bloomington, IN 47403 2018-06-05
1205287513 Stephanie B. Pemberton Nurse Practitioner 3600 N Prow Rd, Bloomington, IN 47404-1616 2016-06-28
1578942348 Brandee Kay Marksberry Nurse Practitioner 445 S Landmark Ave, Bloomington, IN 47403-5004 2015-05-26
Find all providers in BLOOMINGTON

Competitor

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City BLOOMINGTON
Zip Code 47403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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