Individual provider Active NPI

Lauren Michelle Rosin, MD

  • Internal Medicine Physician
  • Frederick, CO
National Provider Identifier
1467879510
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R9849 Issued in TX
Practice address
3228 Eagle Butte Ave
Frederick, CO 80516-2612
Phone
(361) 524-8778
Fax
(713) 357-6781
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R9849 TX Primary

Addresses

Primary practice location

3228 Eagle Butte Ave
Frederick, CO 80516-2612

Mailing address

3228 Eagle Butte Ave
Frederick, CO 80516-2612
Phone (361) 524-8778

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R9849TXMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1467879510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 EAGLE BUTTE AVE",
            "city": "FREDERICK",
            "state": "CO",
            "postal_code": "805162612",
            "telephone_number": "361-524-8778",
            "fax_number": "713-357-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 EAGLE BUTTE AVE",
            "city": "FREDERICK",
            "state": "CO",
            "postal_code": "805162612",
            "telephone_number": "361-524-8778",
            "fax_number": "713-357-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSIN",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R9849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.