Active NPI
Elizabeth Cordes Rose, D.O.
- Psychiatry Physician
- Loveland, CO
National Provider Identifier
1760585749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DR.0063429
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0063429 | CO | MD | Psychiatry Physician |
| 3656 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Center | Past | Accepting new patients | |
| Integrative Psychiatry Center of Boulder LLC | Psychiatry | Past | Accepting new patients |
| Elizabeth Cordes, D.O., P.C. | Psychiatry | Past | Accepting new patients |
| Andrew W Scott LPC PLLC | 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 and National Provider Directory roles.
-
- Psychiatry Physician
- Boulder, CO
- NPI 1528676616
-
- Professional Counselor
- Edmond, OK
- NPI 1316173776
-
- Psychiatry Physician
- Edmond, OK
- NPI 1760585632
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.