KAITLYN MARY CAFAZZA APRN PNP-BC NPI 1992082325

NPI Information

  • NPI: 1992082325
  • Provider Name: KAITLYN MARY CAFAZZA, APRN, PNP-BC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 400 MEDICAL PLZ STE 200
    LAKE ST LOUIS, MO
    ZIP 63367
  • Phone: (636) 625-2662

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NPI Details

Kaitlyn Mary Cafazza, APRN, PNP-BC is a pediatrics nurse practitioner in Lake St Louis, MO. Kaitlyn Mary Cafazza, APRN, PNP-BC NPI is 1992082325. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 MEDICAL PLZ STE 200
LAKE ST LOUIS, MO
ZIP 63367-417
Phone: (636) 625-2662

The enumeration date for this NPI number is 11/14/2011 and was last updated on 4/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics2008023068MISSOURIYes
2363LP0200XNurse PractitionerPediatrics2011037407MISSOURINo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12008023068OTHERMISSOURIMISSOURI STATE BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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