Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Fauke Kakooza, APRN

Individual provider Nurse Practitioner · NPI 1891268991

Kimberly Fauke Kakooza, APRN is a Nurse Practitioner in Flagstaff, Arizona. Qualified in 2018, 8 years ago. Practices with Nextcare Arizona I Jv LLC, a 301-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
8
Licensed in
AZ, IL
In the registry since
2019
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1000 N Humphreys St Ste 104
Flagstaff, AZ 86001-3124
Phone: (928) 779-3844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 12850 S Ashland Ave, Calumet Park, IL 60827-6308 — (708) 972-7958
  • 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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 337491 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence 277002831 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209.018538 (IL)

Record details

NPI number1891268991
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJanuary 10, 2019
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Nextcare Arizona I Jv Llc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Flagstaff