Individual provider · Type 1 NPI

Kimberly Fauke Kakooza, APRN

Nurse Practitioner · Flagstaff, AZ

NPI number 1891268991 Active

Practice location

1000 N Humphreys St Ste 104
Flagstaff, AZ 86001-3124

Call (928) 779-3844 Map

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Other practice locations

1770 E Lake Shore Dr Lowr LL1, Decatur, IL 62521-3832 · (217) 464-1340
1804 N Naper Blvd, Naperville, IL 60563-8830 · (630) 527-3645
12850 S Ashland Ave, Calumet Park, IL 60827-6308 · (708) 972-7958

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	277002831 (IL)
Nurse Practitioner	363L00000X	209.018538 (IL)
Nurse Practitioner Primary	363L00000X	337491 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

Other nurse practitioner providers in Flagstaff

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About NPI 1891268991

Kimberly Fauke Kakooza, APRN's National Provider Identifier is 1891268991, issued on Jan 10, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Flagstaff, AZ. The record was last updated on Jun 3, 2026.