Individual provider Active NPI

Victoria Alexis Hulse, DC

  • Chiropractor
  • Erie, PA
National Provider Identifier
1326613233
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011652 Issued in PA
Practice address
1009 E 38TH St
Erie, PA 16504-1843
Phone
(814) 824-6442
Fax
(814) 824-6442
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011652 PA Primary

Addresses

Primary practice location

1009 E 38TH St
Erie, PA 16504-1843

Mailing address

1009 E 38TH St
Erie, PA 16504-1843
Phone (814) 824-6442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720001148 PA Practitioner - Chiropractic 6709289382 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011652PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Family Chiropractic Center,PC Chiropractor CurrentSince Jun 12, 2021 Accepting new patients
Multi-Cultural Health Evaluation Delivery Systems Inc CurrentSince Jun 1, 2024 Accepting new patients

Locations

2928 Peach St
Erie, PA 16508
Phone (814) 452-6229

1009 E 38th St
Erie, PA 16504
Phone (814) 602-3833

2021 E 20th St
Erie, PA 16510
Phone (814) 453-6229

2743 E 38th St
Erie, PA 16510
Phone (814) 824-6442

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1326613233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041843",
            "telephone_number": "814-824-6442",
            "fax_number": "814-824-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041843",
            "telephone_number": "814-824-6442",
            "fax_number": "814-824-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSE",
        "first_name": "VICTORIA",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.