Elizabeth Rose Colburn, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0216 Issued in AZ

Practice address

370 E Virginia Ave
#200
Phoenix, AZ 85004-1214

Phone

(602) 222-5605

Fax

(602) 532-7839

NPI assigned

Jul 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1225228406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E VIRGINIA AVE",
            "address_2": "#200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041214",
            "telephone_number": "602-222-5605",
            "fax_number": "602-532-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E VIRGINIA AVE",
            "address_2": "#200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041214",
            "telephone_number": "602-222-5605",
            "fax_number": "602-532-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre M Colbert, PT, DPT
• Constance R Colbert, FNP-BC
• Dominique Yvette Colbert
• George Colbert
• Randi Danielle Colbert, DO
• Luc Alexander Colburn, MD
• Mary Colburn
• Chelsea Louise Colby, AGACNP-BC
• Matthew John Colby, D.C.
• Thomas V Colby, M.D.

• Athletic Trainer in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.