Organization Active NPI

Loretta M. Hulsey, DC, CCSP, LLC

  • Chiropractor
  • Newberry, FL
National Provider Identifier
1396017455
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7019 Issued in FL
Legal business name
LORETTA M. HULSEY, DC, CCSP, LLC
Practice address
25050 W Newberry Rd
Newberry, FL 32669-4239
Phone
(352) 472-3555
Fax
(352) 472-3555
NPI assigned
Feb 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Dr. Loretta M Hulsey, DCNPI 1669519229
Title
President
Phone
(352) 472-3555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7019 FL Primary

Addresses

Primary practice location

25050 W Newberry Rd
Newberry, FL 32669-4239

Mailing address

27785 W Newberry Rd
Newberry, FL 32669-4269
Phone (352) 472-3555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120831000072 FL Part B Supplier - Clinic/Group Practice 7113174871 Receives reassigned benefits from 1 practitioner
Practice locations: Newberry, FL

National Provider Directory

National Provider Directory

Locations

25355 W Newberry Rd
Newberry, FL 32669
Phone (352) 472-3555

24929 NW 2nd Ave
Newberry, FL 32669
Phone (352) 472-3555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1396017455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27785 W NEWBERRY RD",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326694269",
            "telephone_number": "352-472-3555",
            "fax_number": "352-472-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 W NEWBERRY RD",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326694239",
            "telephone_number": "352-472-3555",
            "fax_number": "352-472-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORETTA M. HULSEY, DC, CCSP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "HULSEY",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-472-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.