Tyrie Dunn

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Jackson, LA

NPI 1053974816 · NPPES record last updated Apr 17, 2019

Key facts

NPI
1053974816
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Practice address
2614 Highway 952
Jackson, LA 70748-3326
Phone
(225) 719-8164
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe and Maggie House, LLC Current
since Dec 1, 2024
Accepting new patients
S.O.P.E. Transportation, LLC Non-Emergency Medical Transport (Van) Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Yes

Addresses

Primary practice location

2614 Highway 952
Jackson, LA 70748-3326

Mailing address

2614 Highway 952
Jackson, LA 70748-3326
Phone (225) 719-8164

Other providers in Jackson, LA

All providers in Jackson, LA · Non-emergency Medical Transport (VAN) in Louisiana

Sources for this page

Verify at the official NPI Registry.