Individual provider Active NPI

Stephen Gitao Kiarie

  • Psychiatric/Mental Health Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1821717513
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP025648 Issued in PA
Practice address
333 Harrisburg Ave
Lancaster, PA 17603-2951
Phone
(717) 740-4100
NPI assigned
Aug 25, 2022
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP025648 PA Primary

Addresses

Primary practice location

333 Harrisburg Ave
Lancaster, PA 17603-2951

Mailing address

1505 Durwood CT
Reading, PA 19609-1016
Phone (610) 763-2118

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL julie.fernald@lbhh.org

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
I20221130003377 PA Practitioner - Nurse Practitioner 9830567528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster Behavioral Health Hospital LLCGroup PAC ID 9234492059, 14 clinicians

Practice addresses (Care Compare)

333 Harrisburg Ave
Lancaster, PA 17603-2951
Phone (717) 925-2750

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster Behavioral Health Hospital LLC CurrentSince Sep 20, 2022 Accepting new patients

Locations

333 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 740-4100

Organizations & group practices 1

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1821717513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 DURWOOD CT",
            "city": "READING",
            "state": "PA",
            "postal_code": "196091016",
            "telephone_number": "610-763-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 HARRISBURG AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032951",
            "telephone_number": "717-740-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIARIE",
        "first_name": "STEPHEN",
        "middle_name": "GITAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP025648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "julie.fernald@lbhh.org",
            "affiliation": "N",
            "address_1": "333 Harrisburg Ave",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176032951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.