Individual provider Active NPI

Tyson James Olds, M.D.

  • General Practice Physician
  • Lafayette, LA
National Provider Identifier
1457791220
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
308046 Issued in LA
Practice address
1144 Coolidge Blvd Ste B
Lafayette, LA 70503-2622
Phone
(337) 484-3655
Fax
(844) 272-3663
NPI assigned
Jun 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 308046 LA Primary

Addresses

Primary practice location

1144 Coolidge Blvd Ste B
Lafayette, LA 70503-2622

Mailing address

1144 Coolidge Blvd Ste B
Lafayette, LA 70503-2622
Phone (337) 484-3655

Other practice location 1

220 Girod St Ste 205
Mandeville, LA 70448-5811
Phone (985) 401-5947

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
308046LAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1457791220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 COOLIDGE BLVD STE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032622",
            "telephone_number": "337-484-3655",
            "fax_number": "844-272-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 COOLIDGE BLVD STE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032622",
            "telephone_number": "337-484-3655",
            "fax_number": "844-272-3663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Girod St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "704485811",
            "country_code": "US",
            "telephone_number": "985-401-5947",
            "fax_number": "985-202-8387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDS",
        "first_name": "TYSON",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "308046",
            "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 Feb 23, 2026; 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.