Active NPI
Delesseps Paul Dolese, MS, ATC, LAT
- Athletic Trainer
- Lafayette, LA
National Provider Identifier
1336395235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- ATH.J00233
- Practice address
- 302 S Wakefield Dr
Lafayette, LA 70503-4630 - Phone
- (337) 981-6053
- NPI assigned
- Aug 11, 2008
- Last updated
- Aug 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | ATH.J00233 | LA | Primary |
Addresses
Primary practice location
302 S Wakefield Dr
Lafayette, LA 70503-4630
Mailing address
302 S Wakefield Dr
Lafayette, LA 70503-4630
Phone (337) 981-6053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATH.J00233 | LA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218412800000",
"number": "1336395235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 S WAKEFIELD DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705034630",
"telephone_number": "337-981-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S WAKEFIELD DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705034630",
"telephone_number": "337-981-6053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLESE",
"first_name": "DELESSEPS",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "MS, ATC, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-11",
"last_updated": "2008-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "LA",
"license": "ATH.J00233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.