Individual provider Active NPI

Eunice Cordoba, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Fort Collins, CO
National Provider Identifier
1689671943
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
DR.0069701 Issued in CO
Practice address
2905 Ross Dr Apt M23
Fort Collins, CO 80526-6936
Phone
(970) 889-0583
Fax
(561) 916-3956
NPI assigned
Jul 1, 2005
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X DR.0069701 CO Primary

Addresses

Primary practice location

2905 Ross Dr Apt M23
Fort Collins, CO 80526-6936

Mailing address

2905 Ross Dr Apt M23
Fort Collins, CO 80526-6936
Phone (561) 635-6153

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0069701COMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurofocus PLLC Neurology With Special Qualifications in Child Neurology Current Accepting new patients
New Start Neuro Care, PLLC Neurology With Special Qualifications in Child Neurology CurrentSince Jan 15, 2023 Accepting new patients
Capernaum Medical Center for Kids PLLC PastSince Nov 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dreunicecordoba@direct.meditouchehr.com

Organizations & group practices 3

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1689671943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 ROSS DR APT M23",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266936",
            "telephone_number": "561-635-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 ROSS DR APT M23",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266936",
            "telephone_number": "970-889-0583",
            "fax_number": "561-916-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOBA",
        "first_name": "EUNICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CO",
            "license": "DR.0069701",
            "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 Sep 14, 2026; 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.