Healthcare Provider Details

I. General information

NPI: 1962325399
Provider Name (Legal Business Name): CASSIDY MICHELE UMANN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2147 LOWELL BLVD
DENVER CO
80211-5068
US

IV. Provider business mailing address

2147 LOWELL BLVD
DENVER CO
80211-5068
US

V. Phone/Fax

Practice location:
  • Phone: 818-274-7769
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95167935
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN.1671705
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: