Gina Louise Kielbasa, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN256247L Issued in PA

Practice address

975 Hidden Hollow Dr
Gap, PA 17527-9561

Phone

(717) 442-1251

NPI assigned

May 22, 2008

Last updated

May 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1013174309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 HIDDEN HOLLOW DR",
            "city": "GAP",
            "state": "PA",
            "postal_code": "175279561",
            "telephone_number": "717-442-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 HIDDEN HOLLOW DR",
            "city": "GAP",
            "state": "PA",
            "postal_code": "175279561",
            "telephone_number": "717-442-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELBASA",
        "first_name": "GINA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN256247L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Lee Hook Jr., D.M.D., M.S.D.
• Sarah Elizabeth Houck, COTA/L
• David Hunter
• Glenford Kauffman, M.S.
• Karen L Keegan, PT, MDT
• Randy L Kochel, MD
• Carla Kouterick
• Lakisha Kumedzro, CEO
• Lancaster General Medical Group (Penn Medicine LGHP Family Medicine County Line)
• Allison Lapp, DC

• Licensed Practical Nurse in Gap, PA
• Providers in Gap, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.