Individual provider Active NPI

Kimberly A Barilla, CRNP

  • Family Nurse Practitioner
  • Lehighton, PA
National Provider Identifier
1346340064
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012242 Issued in PA
Practice address
428 S 7TH St
Lehighton, PA 18235-1818
Phone
(610) 900-4234
Fax
(570) 392-6143
NPI assigned
Sep 23, 2006
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X UP002038D PA
Family Nurse Practitioner 363LF0000X SP012242 PA Primary

Addresses

Primary practice location

428 S 7TH St
Lehighton, PA 18235-1818

Mailing address

428 S 7TH St
Lehighton, PA 18235-1818
Phone (610) 900-4234

Other names 1

  • Ms. Kimberly A Barilla 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
I20080506000431 PA Practitioner - Nurse Practitioner 1052490794 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Geropsych, LLCGroup PAC ID 2062659584, 17 clinicians

Practice addresses (Care Compare)

428 S 7TH St
Lehighton, PA 18235-1824
Phone (610) 900-4234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP012242PAMDFamily Nurse Practitioner
UP002038DPAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All American Urgent Care, P.C. CurrentSince Oct 1, 2023 Accepting new patients
Valley Geropsych, LLC CurrentSince Jan 3, 2020 Accepting new patients
Scranton Primary Health Care Center, Inc. CurrentSince Apr 8, 2017 Accepting new patients
Scranton Primary Health Care Center, Inc CurrentSince Apr 8, 2017 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

4379 Easton Ave
#101
Bethlehem, PA 18020
Phone (610) 625-1486

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

428 S 7th St
Lehighton, PA 18235
Phone (610) 401-3559

425 Alder St
Scranton, PA 18505
Phone (570) 346-0759

959 Wyoming Ave
Scranton, PA 18509
Phone (570) 344-3517

715 Route 113
#B
Souderton, PA 18964
Phone (267) 382-3220

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1346340064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S 7TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351818",
            "telephone_number": "610-900-4234",
            "fax_number": "570-392-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S 7TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351818",
            "telephone_number": "610-900-4234",
            "fax_number": "570-392-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARILLA",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "UP002038D",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BARILLA",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.