Andrea Tyson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

106 Business Park Avenue
Denham Springs, LA 70726-7072

Phone

(888) 417-5250

Fax

(225) 341-8756

NPI assigned

Jun 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1053981878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BUSINESS PARK AVENUE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267006",
            "telephone_number": "888-417-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BUSINESS PARK AVENUE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707267072",
            "telephone_number": "888-417-5250",
            "fax_number": "225-341-8756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7784 Innovation Park Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708207006",
            "country_code": "US",
            "telephone_number": "225-620-6703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYSON",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmond K Tucker
• Tricia L. Tucker, MHS
• Kirsten Danielle Turner
• Krittayanee Charoenpap Turner
• Tracy Slade Tyler, LPN
• Tyler B Updyke
• Avigail Usner, PT
• Lisa Valdes
• Gilian Vanbree, RPH
• Chantelle Ballard Varnado, SLP

• Case Manager/Care Coordinator in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.