KASSANDRA B. CUNNINGHAM (NPI# 1477724672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477724672 |
| Entity Type | Individual |
| Full Name | KASSANDRA B. CUNNINGHAM |
| Credential | PA-C |
| Practice Address |
10103 Ridgegate Pkwy Ste 103 Lone Tree CO 80124-5524 |
| Mailing Address |
4900 S Monaco St Suite 210 Denver CO 80237-3486 |
| Practice Telephone | 3036450090 |
| Practice Fax Number | 3036450092 |
| Mailing Telephone | (303) 645-0090 |
| Mailing Fax Number | 3036450092 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2017-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1962 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE | 275747YPNQ | 01 |
| CO | 57575509 | 05 |
| Street Address |
10103 RIDGEGATE PKWY STE 103 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-5524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639167463 | Barry L Molk | Internal Medicine | 10103 Ridgegate Pkwy Ste 103, Lone Tree, CO 80124-5524 | 2005-10-06 |
| 1114533510 | Healthone Heart Care LLC | Internal Medicine | 10103 Ridgegate Pkwy Ste 103, Lone Tree, CO 80124-5524 | 2020-09-21 |
| 1063770048 | Baran Aksut | Internal Medicine | 10103 Ridgegate Pkwy Ste 103, Lone Tree, CO 80124-5524 | 2012-04-27 |
| 1982870481 | Jerrell Waika Herod | Internal Medicine | 10103 Ridgegate Pkwy Ste 103, Lone Tree, CO 80124-5524 | 2008-05-05 |
| 1235242843 | Rebecca L Isaacson | Physician Assistant | 10103 Ridgegate Pkwy Ste 103, Lone Tree, CO 80124-5524 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962876425 | Craig Wood | Physician Assistant | 9695 S Yosemite St Ste 324, Lone Tree, CO 80124-2890 | 2015-11-20 |
| 1184761991 | Karen Luebcke Wiltin | Physician Assistant | 10103 Ridgegate Pkwy Ste 125, Lone Tree, CO 80124-5525 | 2007-01-31 |
| 1568559250 | Melissa R Vansickel | Physician Assistant | 9695 S Yosemite St Ste 285, Lone Tree, CO 80124-2890 | 2006-10-06 |
| 1730590654 | Jessica Ramirez | Physician Assistant | 10103 Ridgegate Pkwy Ste 312, Aspen Building, Lone Tree, CO 80124-5525 | 2014-05-13 |
| 1457779886 | Advanced Integrative Medicine | Physician Assistant | 10455 Park Meadows Dr, Ste 102, Lone Tree, CO 80124-5599 | 2014-04-02 |
| 1689003014 | Heather Roth | Physician Assistant | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2013-11-06 |
| 1568534600 | Virginia E Hinds | Physician Assistant | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677240 | Monique Minter | Physician Assistant | 5504 Malta St, Denver, CO 80249-8649 | 2020-10-23 |
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1013478445 | Robin Elise Feldman | Physician Assistant | 17033 E Dorado Dr, Centennial, CO 80015-3029 | 2019-03-28 |
| 1780141895 | Wendy Mc Bui | Physician Assistant | 1530 S Florence Way Unit 312, Aurora, CO 80247 | 2019-02-25 |
| 1639650252 | Jade Golden | Physician Assistant | 101 Founders Pl Ste 109, Aspen, CO 81611-1476 | 2018-08-22 |
| 1861902157 | Hannah Ellen Martin | Physician Assistant | Children's Hospital Colorado 13123 East 16th Avenue, Box 060, Aurora, CO 80045-0600 | 2017-10-02 |
| 1861901878 | Stephanie J Dyck IIi | Physician Assistant | 3800 North York St, Denver, CO 80205-3540 | 2017-09-21 |
| 1932622719 | Brooke Annette Albert | Physician Assistant | 2801 Youngfield St Ste 150, Golden, CO 80401-0209 | 2017-07-24 |
| 1912433400 | Wendy Miller | Physician Assistant | 4041 E Forbes Ct, Greenwood Village, CO 80121-3943 | 2017-05-03 |
| 1154863249 | Zachary A Hitchcock | Physician Assistant | 1107 S Lemay Ave Ste 240, Fort Collins, CO 80524-3959 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.