Individual provider Active NPI

Kelly J Jimenez-Garcia, RBT LBS

  • Behavior Analyst
  • Lancaster, PA
National Provider Identifier
1366741001
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2501 Oregon Pike
Wellspan Philhaven Ibhs
Lancaster, PA 17601
Phone
(717) 735-1954
NPI assigned
Mar 21, 2011
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

2501 Oregon Pike
Wellspan Philhaven Ibhs
Lancaster, PA 17601

Mailing address

785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other practice location 1

2124 Old Philadelphia Pike
WellSpan Philhaven IBHS
Lancaster, PA 17602
Phone (717) 676-7641

Other practice location 2

1407 Williams Road
WellSpan Philhaven IBHS
York, PA 17402
Phone (717) 845-2482

Other practice location 3

283 S Butler Road
WellSpan Philhaven IBHS
Lebanon, PA 17042
Phone (717) 273-8871

Other practice location 4

1315 Old Forge Road
WellSpan Philhaven IBHS
Lebanon, PA 17046
Phone (717) 273-8871

Other practice location 5

780 Eden Road
WellSpan Philhaven IBHS
Lancaster, PA 17601
Phone (717) 735-7770

Other practice location 6

1000 South 8th Street
WellSpan Philhaven IBHS
Lebanon, PA 17042
Phone (717) 874-9963

Other practice location 7

125 Schneider Drive
WellSpan Philhaven IBHS
Lebanon, PA 17046
Phone (717) 270-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Philhaven Past Accepting new patients
Philhaven PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1366741001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-709-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 OREGON PIKE",
            "address_2": "WELLSPAN PHILHAVEN IBHS",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17601",
            "telephone_number": "717-735-1954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 Old Philadelphia Pike",
            "address_2": "WellSpan Philhaven IBHS",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "17602",
            "country_code": "US",
            "telephone_number": "717-676-7641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1407 Williams Road",
            "address_2": "WellSpan Philhaven IBHS",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "17402",
            "country_code": "US",
            "telephone_number": "717-845-2482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "283 S Butler Road",
            "address_2": "WellSpan Philhaven IBHS",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "17042",
            "country_code": "US",
            "telephone_number": "717-273-8871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Old Forge Road",
            "address_2": "WellSpan Philhaven IBHS",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "17046",
            "country_code": "US",
            "telephone_number": "717-273-8871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Eden Road",
            "address_2": "WellSpan Philhaven IBHS",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "17601",
            "country_code": "US",
            "telephone_number": "717-735-7770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 South 8th Street",
            "address_2": "WellSpan Philhaven IBHS",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "17042",
            "country_code": "US",
            "telephone_number": "717-874-9963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Schneider Drive",
            "address_2": "WellSpan Philhaven IBHS",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "17046",
            "country_code": "US",
            "telephone_number": "717-270-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ-GARCIA",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "RBT LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.