Provider Demographics
NPI:1043795321
Name:STRODE, NISHMA
Entity Type:Individual
Prefix:
First Name:NISHMA
Middle Name:
Last Name:STRODE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NISHMA
Other - Middle Name:
Other - Last Name:FARNUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1968 S DEVINNEY ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-4521
Mailing Address - Country:US
Mailing Address - Phone:720-515-9379
Mailing Address - Fax:
Practice Address - Street 1:2001 HOYT ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-1639
Practice Address - Country:US
Practice Address - Phone:303-759-1192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26666235Z00000X
COSLP.0004174235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist