Individual provider Active NPI

Ronda Renee Cowan, D.C.

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1417909425
Registry record updated Dec 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5757 Issued in CO
Practice address
1017 Robertson St
Fort Collins, CO 80524-3926
Phone
(720) 526-9576
NPI assigned
May 17, 2006
Last updated
Dec 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 767 WY
Chiropractor 111N00000X 5757 CO Primary

Addresses

Primary practice location

1017 Robertson St
Fort Collins, CO 80524-3926

Mailing address

PO Box 7066
Loveland, CO 80537-0066
Phone (720) 526-9576

Other practice location 1

2310 E Prospect Rd
Suite D
Ft Collins, CO 80525-9770
Phone (970) 226-4831

Other practice location 2

514 E 19th St
Cheyenne, WY 82001-4646
Phone (307) 514-1347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5757COMDProfessional Counselor
3800NCMDClinical Psychologist
767WYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Optimal Health LLC Chiropractor PastSince Mar 25, 2006 Accepting new patients
Richard S. Pasko, D.C., PLLC Past Accepting new patients
Front Range Spine and Joint, LLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576368000000",
    "number": "1417909425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7066",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370066",
            "telephone_number": "720-526-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 ROBERTSON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243926",
            "telephone_number": "720-526-9576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 E Prospect Rd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Ft Collins",
            "state": "CO",
            "postal_code": "805259770",
            "country_code": "US",
            "telephone_number": "970-226-4831",
            "fax_number": "970-493-0510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 E 19th St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820014646",
            "country_code": "US",
            "telephone_number": "307-514-1347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COWAN",
        "first_name": "RONDA",
        "middle_name": "RENEE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "767",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; 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.