Active NPI
Kimberly N Roberts, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G114197
- Practice address
- 700 E University Ave # 3W
Des Moines, IA 50316-2302 - Phone
- (515) 263-5153
- Fax
- (515) 263-5158
- NPI assigned
- Aug 4, 2014
- Last updated
- Feb 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G114197 | IA | Primary |
Addresses
Primary practice location
700 E University Ave # 3W
Des Moines, IA 50316-2302
Mailing address
1200 Pleasant Street
Des Moines, IA 50309-1453
Phone (515) 241-6228
Other names 1
- Ms. Kimberly Wood
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4506 Chadwick Rd
Cedar Falls, IA 50613-7800
Phone (319) 252-8718
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G114197 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Cedar Circle Mental Health and Wellness PC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4506 Chadwick Rd
Cedar Falls, IA 50613
Phone (319) 252-8718
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
1200 Pleasant St
Rm 236
Des Moines, IA 50309
Phone (515) 241-6228
1215 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-6178
700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120
700 E University Ave
#3W
Des Moines, IA 50316
Phone (515) 263-5153
700 E University Ave
Ste 3W
Des Moines, IA 50316
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Cedar Falls, IA
- NPI 1811534910
-
dba East Des Moines Family Care Center
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
dba IMMC Outpatient Pharmacy
- Pharmacy
- Des Moines, IA
- NPI 1003352949
-
dba Blank Health Providers
- Pediatrics Physician
- Des Moines, IA
- NPI 1144309188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1316356496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 PLEASANT STREET",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091453",
"telephone_number": "515-241-6228",
"fax_number": "515-241-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E UNIVERSITY AVE # 3W",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503162302",
"telephone_number": "515-263-5153",
"fax_number": "515-263-5158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "KIMBERLY",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-04",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G114197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "WOOD",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.