Dahlia Ariel Dyson, MA, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

327669 Issued in LA

Practice address

1201 S Clearview Pkwy BLDG B
Jefferson, LA 70121-1015

Phone

(314) 920-9856

NPI assigned

Jul 23, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624752000000",
    "number": "1053964577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 W NAPOLEON AVE APT 311",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012674",
            "telephone_number": "314-920-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S CLEARVIEW PKWY BLDG B",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701211015",
            "telephone_number": "314-920-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSON",
        "first_name": "DAHLIA",
        "middle_name": "ARIEL",
        "name_prefix": "Mrs.",
        "credential": "MA, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "LA",
            "license": "327669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee L Drescher, L.O.T.R.
• Bruce Ducote
• Lynette Kay Duhe, LPC, LMFT
• Katherine R. Dunn, DVM
• Kristina Ann Dupre, PHARMD
• Paula K. Eagan, LCSW
• Madeleine Earls, PA
• James Edelman, MS, ATC
• Kacie Edwards, LAT, ATC
• Chika Egbuchulam

• Athletic Trainer in Jefferson, LA
• Providers in Jefferson, LA by specialty
• Athletic Trainer in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; 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.