Department of Defense

Primary specialty

Military HospitalTaxonomy code 286500000X

License

28781 Issued in TX

Legal business name

DEPARTMENT OF DEFENSE

Practice address

1650 Cochrane Cir
Ft Carson, CO 80913-4603

Phone

(719) 526-2862

Fax

(719) 526-0608

NPI assigned

Mar 3, 2006

Last updated

Jul 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elsa U Longres, LCSW, LCDC

Title

Substance Abuse Counselor

Phone

(719) 526-2862

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Evans Army Community Hospital Other name

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1992772370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863 JOSEPHINE HTS",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809065080",
            "telephone_number": "719-526-2862",
            "fax_number": "719-526-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134603",
            "telephone_number": "719-526-2862",
            "fax_number": "719-526-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF DEFENSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "LONGRES",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "719-526-2862",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LCDC"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "TX",
            "license": "28781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCDC",
            "identifier": "7935",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "28781",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Army Community Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Zarene Dekraai, MA, LPC, CACIII
• Ana Gloria Delgado-Bryant, PHARM.D.
• Michael Denkewalter, PA-C
• Kimberly Nicole Denny, PA-C
• Denver Vamc
• Department of the Army USA Meddac/Evans Army Community Hospital
• Chad A Derosa, MD
• Ronald Anthony Deutsch, PA
• Peggy S Diaz de Leon, LPC, MAC, NCC,CACIII
• Felicia L. Diaz, LCSW

• Military Hospital in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Military Hospital in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.