Individual provider Active NPI

Kathleen Ann Lauren, ED.D.

  • Clinical Neuropsychologist
  • Fort Collins, CO
National Provider Identifier
1427101708
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1990 Issued in CO
Practice address
2038 Caribou Dr
Suite 201
Fort Collins, CO 80525-4338
Phone
(970) 221-1073
Fax
(970) 221-9380
NPI assigned
Jan 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1990 CO Primary

Addresses

Primary practice location

2038 Caribou Dr
Suite 201
Fort Collins, CO 80525-4338

Mailing address

2038 Caribou Dr
Suite 201
Fort Collins, CO 80525-4338
Phone (970) 221-1073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000618 CO Practitioner - Clinical Psychologist 6800888637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2801 Remington St
Suite 1
Fort Collins, CO 80525-2570
Phone (970) 221-1073

503 Shadbury CT
Fort Collins, CO 80525-4146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1990COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Memory Center PLLC Clinical Neuropsychologist CurrentSince Jul 1, 2008 Accepting new patients
Kathleen Lauren Edd PLLC Clinical Neuropsychologist PastSince Jan 1, 1990 Accepting new patients

Locations

2801 Remington St
Fort Collins, CO 80525
Phone (970) 221-1073

2801 Remington St
Ste 1
Fort Collins, CO 80525
Phone (970) 221-1073

Organizations & group practices 2

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427101708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 CARIBOU DR",
            "address_2": "SUITE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254338",
            "telephone_number": "970-221-1073",
            "fax_number": "970-221-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 CARIBOU DR",
            "address_2": "SUITE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254338",
            "telephone_number": "970-221-1073",
            "fax_number": "970-221-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUREN",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "1990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.