=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821688334
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KASANDRA NICOLE ANTIONETTE STRONG NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/20/2021
-----------------------------------------------------
Last Update Date | 09/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 255 S ROUTT ST STE 300
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80228-2354
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-321-8280
-----------------------------------------------------
Fax | 720-321-8281
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 255 S ROUTT ST STE 300
-----------------------------------------------------
City | LAKEWOOD
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80228-2354
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-321-8280
-----------------------------------------------------
Fax | 720-321-8281
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | APN.0996321-NP
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------