Kimberly Good Ibarra, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP017865 Issued in PA

Practice address

6 W Newport Rd
Lititz, PA 17543

Phone

(717) 627-2108

Fax

(717) 627-2434

NPI assigned

Sep 1, 2017

Last updated

Aug 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Union Community Care

  • Federally Qualified Health Center (FQHC)
  • Lancaster, PA
  • NPI 1326656174
  NPD
• Union Community Care

  • Federally Qualified Health Center (FQHC)
  • Lancaster, PA
  • NPI 1801853346
  NPD

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1881112514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 W NEWPORT RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439491",
            "telephone_number": "717-627-2108",
            "fax_number": "717-627-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W NEWPORT RD",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "17543",
            "telephone_number": "717-627-2108",
            "fax_number": "717-627-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "KIMBERLY",
        "middle_name": "GOOD",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Elizabeth Hostetler, PA-C
• Jonathan D Hostetter, CRNP
• Taylor Hudson, DO
• Carey Hung, DO
• Peter A Hurtubise, DO
• Katlyn Marie Irwin, PTA
• Mary E Ivy, M.D.
• J. Cornack Therapy Group LLC
• J. Cornack Therapy Group LLC
• Jacobson Eyecare, Inc.

• Family Nurse Practitioner in Lititz, PA
• Providers in Lititz, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.