Healthcare Provider Details

I. General information

NPI: 1437711009
Provider Name (Legal Business Name): RACHEL ROTH WILLIAMS ARNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2019
Last Update Date: 10/05/2025
Certification Date: 10/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 48TH ST STE 260
WEST DES MOINES IA
50266-6726
US

IV. Provider business mailing address

204 NW 24TH LN
GRIMES IA
50111-4926
US

V. Phone/Fax

Practice location:
  • Phone: 515-401-4774
  • Fax: 515-254-3092
Mailing address:
  • Phone: 515-867-4893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA155620
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number119838
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: