Leslie Gooley, CERT. REFLEXOLOGIST

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

CERT. #PS-000289 Issued in CO

Practice address

1121 Quindaro Blvd
Kansas City, KS 66104-5331

Phone

(913) 375-2503

Fax

(913) 371-0493

NPI assigned

Sep 20, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Universal Life Church Inc.

  • Reflexologist
  • Kansas City, KS
  • NPI 1720238256
  NPD (past) Authorized official

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

{
    "created_epoch": "1221868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221868800000",
    "number": "1447400973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 FREEMAN CT",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661012254",
            "telephone_number": "913-375-2503",
            "fax_number": "913-371-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 QUINDARO BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661045331",
            "telephone_number": "913-375-2503",
            "fax_number": "913-371-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLEY",
        "first_name": "LESLIE",
        "name_prefix": "Mr.",
        "credential": "CERT. REFLEXOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-20",
        "last_updated": "2008-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "CO",
            "license": "CERT. #PS-000289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward D Gooden, CRNA
• Jill C Goodheart, MA, CCC-SLP
• Sylvia Goodloe, LCSW
• Samuel Goodroad, PTA
• Allen Boyd Goold, LMSW
• Nikhil A Gopal, MBBS
• Meera Ramona Gopaul, M.D.
• Parker Gordon, RN
• Kelly Ann Marie Gorman
• Chelsea Ann Gorsline, MD

• Reflexologist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Reflexologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; 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.