Healthcare Provider Details

I. General information

NPI: 1114837994
Provider Name (Legal Business Name): CASSIE NICHOLE FELTS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8451 PEARL ST
THORNTON CO
80229-4804
US

IV. Provider business mailing address

8451 PEART STREET
THORNTON CO
80602-8771
US

V. Phone/Fax

Practice location:
  • Phone: 303-301-8722
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.1686348
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: