WHITE LOTUS FAMILY MEDICINE & AESTHETICS, PLLC
NPI 1366270902
Nurse Practitioner - Family in Stigler, OK

Active since July 24, 2024
1407 E MAIN ST UNIT B, STIGLER, OK 74462(918) 443-0200 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About White Lotus Family Medicine & Aesthetics, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE LOTUS FAMILY MEDICINE & AESTHETICS, PLLC (NPI 1366270902) is a healthcare organization registered as a family in Stigler, Oklahoma and active in the NPI registry since July 2024. The organization lists Kimberly D Smith, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1366270902
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWHITE LOTUS FAMILY MEDICINE & AESTHETICS, PLLC
Location Address1407 E MAIN ST UNIT BStigler, OK 74462-2910
Mailing AddressPo Box 52Stigler, OK 74462-0052 · (918) 443-0200
Organization SubpartNo
Authorized OfficialKimberly D SmithCredentialing Specialist · (405) 984-7174
Enumeration DateJuly 24, 2024
NPPES CertifiedJuly 24, 2024
NPI 1366270902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1407 E MAIN ST UNIT B, Stigler, OK 74462

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2309498

White Lotus Family Medicine & Aesthetics, PLLC · Stigler, OK
Expired · Aug 14, 2026
CLIA Number37D2309498
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorKathleen R. Decker
Laboratory Phone(918) 443-0200
Laboratory LocationWhite Lotus Family Medicine & Aesthetics, PLLC1407 E Main St, Ste B, Stigler, OK 74462
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1407 E MAIN ST UNIT B
STIGLER, OK 74462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is White Lotus Family Medicine & Aesthetics, PLLC's NPI number?

The NPI number for White Lotus Family Medicine & Aesthetics, PLLC is 1366270902. It was assigned to this organization in the NPPES registry on July 24, 2024.

Where is White Lotus Family Medicine & Aesthetics, PLLC located?

White Lotus Family Medicine & Aesthetics, PLLC is located at 1407 E Main St Unit B, Stigler, OK 74462. The listed phone number is (918) 443-0200.

What is White Lotus Family Medicine & Aesthetics, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does White Lotus Family Medicine & Aesthetics, PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list White Lotus Family Medicine & Aesthetics, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for White Lotus Family Medicine & Aesthetics, PLLC was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.