Healthcare Provider Details

I. General information

NPI: 1942642426
Provider Name (Legal Business Name): KIMBERLY CAFARO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KIM CAFARO ARNP

II. Dates (important events)

Enumeration Date: 07/24/2013
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 42ND ST STE 408
WEST DES MOINES IA
50266-1005
US

IV. Provider business mailing address

1501 42ND ST STE 408
WEST DES MOINES IA
50266-1005
US

V. Phone/Fax

Practice location:
  • Phone: 515-599-0369
  • Fax: 979-256-0890
Mailing address:
  • Phone: 515-599-0369
  • Fax: 979-256-0890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberH121438
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG121438
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: