Leticia Nichole Branham

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

352 Davis LN
Columbia, KY 42728-8884

Phone

(270) 634-4599

NPI assigned

Sep 8, 2017

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467970558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 DAVIS LN",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427288884",
            "telephone_number": "270-634-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 DAVIS LN",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427288884",
            "telephone_number": "270-634-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "LETICIA",
        "middle_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Wayne Bloodworth, LMFT
• Kayla Bodner
• Kendra R Bolom, RBT
• David Earl Bowman, RPH
• Callie Jo Bradford, LPCC
• Julie A Brawner, LCSW
• Breath of Grace Wellness
• Chad Brown
• Irma Leticia Brown, MSN, PMHNP-BC
• Janella F. Brown, D,M.D.

• All providers in Columbia, KY
• Case Manager/Care Coordinator in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.