Individual provider Active NPI

Kimberly Kepner Garcia, DNP, CRNP, FNP-BC

  • Psychiatric/Mental Health Registered Nurse
  • Allentown, PA
National Provider Identifier
1245441765
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
SP022038 Issued in PA
Practice address
1411 Union Blvd
Allentown, PA 18109-2423
Phone
(484) 695-2886
Fax
(610) 433-5124
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN525332L PA
Family Nurse Practitioner 363LF0000X SP009448 PA
Psychiatric/Mental Health Registered Nurse 163WP0808X SP022038 PA Primary

Addresses

Primary practice location

1411 Union Blvd
Allentown, PA 18109-2423

Mailing address

1411 Union Blvd
Allentown, PA 18109-2423
Phone (610) 433-6181

Other identifiers 1

IdentifierTypeStateIssuer
1027801280002MedicaidPA

Other names 1

  • Dr. Kimberly Kepner Attwood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000691 PA Practitioner - Nurse Practitioner 6305920554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Haven HouseGroup PAC ID 3476536780, 9 clinicians

Practice addresses (Care Compare)

1411 Union Blvd
Allentown, PA 18109-1505
Phone (610) 433-6181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN525332LPAMDRegistered Nurse
SP022038PAMDPsychiatric/Mental Health Registered Nurse
SP009448PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haven House CurrentSince Aug 24, 2015 Accepting new patients
Bet-El Counseling Services, Inc CurrentSince Dec 16, 2020 Accepting new patients
Lehigh Valley Psychiatric Assoc Inc Past Accepting new patients
Allentown Associates in Psychiatry and Psychology Past Accepting new patients
Harmony Wellness Group Inc PastSince Aug 15, 2018 Accepting new patients

Locations

1411 Union Blvd
Allentown, PA 18109
Phone (610) 351-6189

1530 Hanover Ave
Allentown, PA 18109
Phone (610) 433-6181

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1245441765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 UNION BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092423",
            "telephone_number": "610-433-6181",
            "fax_number": "610-433-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 UNION BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092423",
            "telephone_number": "484-695-2886",
            "fax_number": "610-433-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KIMBERLY",
        "middle_name": "KEPNER",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN525332L",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009448",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP022038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027801280002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ATTWOOD",
            "middle_name": "KEPNER",
            "prefix": "DR.",
            "credential": "DNP, CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.