Individual provider Active NPI

Elizabeth Cordes Rose, D.O.

  • Psychiatry Physician
  • Loveland, CO
National Provider Identifier
1760585749
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DR.0063429 Issued in CO
Practice address
4575 Byrd Dr RM CM-103
Loveland, CO 80538-7198
Phone
(970) 836-4413
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 3656 OK
Psychiatry Physician 2084P0800X DR.0063429 CO Primary

Addresses

Primary practice location

4575 Byrd Dr RM CM-103
Loveland, CO 80538-7198

Mailing address

PO Box 1465
Longmont, CO 80502-1465
Phone (405) 285-8285

Other practice location 1

1616 E 19th St Ste 305
Edmond, OK 73013-6519
Phone (405) 285-8285

Other names 1

  • Dr. Elizabeth Ann Cordes Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2012 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0063429COMDPsychiatry Physician
3656OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Center Past Accepting new patients
Integrative Psychiatry Center of Boulder LLC Psychiatry PastSince Jul 27, 2020 Accepting new patients
Elizabeth Cordes, D.O., P.C. Psychiatry PastSince Oct 1, 2002 Accepting new patients
Andrew W Scott LPC PLLC PastSince Feb 27, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1760585749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1465",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805021465",
            "telephone_number": "405-285-8285",
            "fax_number": "405-285-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 BYRD DR RM CM-103",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387198",
            "telephone_number": "970-836-4413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 E 19th St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730136519",
            "country_code": "US",
            "telephone_number": "405-285-8285",
            "fax_number": "405-285-8227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ELIZABETH",
        "middle_name": "CORDES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "3656",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0063429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CORDES",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.