Leticia Ann Goodpasture Hulse

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2005000204 Issued in MO

Practice address

10407 Elm Rd
Hannibal, MO 63401-7347

Phone

(573) 406-8694

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Leticia Ann Goodpasture Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• K.B. Therapy, Inc.

  • Physical Therapist
  • Palmyra, MO
  • NPI 1932141702
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245308717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10407 ELM RD",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634017347",
            "telephone_number": "573-406-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10407 ELM RD",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634017347",
            "telephone_number": "573-406-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSE",
        "first_name": "LETICIA",
        "middle_name": "ANN GOODPASTURE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005000204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LETICIA",
            "last_name": "GOODPASTURE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• HQ Eyes, LLC
• HRW, Inc.
• HRW, Inc.
• Tara Marie Huber, MSE, LPC
• Patsy J Hudson, FNP-BC
• Janet K Hultgren, MSW LCSW
• Andrew Michael Hummel, M.D.
• Karen Humphrey
• Kathleen Humphreys, MSW, PLCSW
• Rebecca Lynne Humphreys, DPT

• Physical Therapist in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.