Active NPI
Elizabeth Stevens, D.O.
- Psychiatry Physician
- Wheat Ridge, CO
National Provider Identifier
1780977249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DR.0056911
- Practice address
- 10200 W 44TH Ave Ste 115
Wheat Ridge, CO 80033 - Phone
- (970) 368-2496
- Fax
- (866) 834-5752
- NPI assigned
- May 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DR.0056911 | CO | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | 02004114A | IN |
Addresses
Primary practice location
10200 W 44TH Ave Ste 115
Wheat Ridge, CO 80033
Mailing address
10200 W 44TH Ave Ste 115
Wheat Ridge, CO 80033-2889
Phone (970) 368-2496
Other practice location 1
2200 Bergquist Dr Ste 1
WHMC/Psychiatry 59 MHS/SGOWV1
Lackland A F B, TX 78236
Phone (210) 292-5941
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 Jun 16, 2018 through Jun 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0056911 | CO | MD | Psychiatry Physician |
| 02004114A | IN | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1780977249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 W 44TH AVE STE 115",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800332889",
"telephone_number": "970-368-2496",
"fax_number": "866-834-5752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 W 44TH AVE STE 115",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "80033",
"telephone_number": "970-368-2496",
"fax_number": "866-834-5752"
}
],
"practiceLocations": [
{
"address_1": "2200 Bergquist Dr Ste 1",
"address_2": "WHMC/Psychiatry 59 MHS/SGOWV1",
"address_purpose": "LOCATION",
"city": "Lackland A F B",
"state": "TX",
"postal_code": "78236",
"country_code": "US",
"telephone_number": "210-292-5941",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0056911",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "02004114A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.