Active NPI
Tyson Dooley
- Student in an Organized Health Care Education/Training Program
- Youngsville, LA
National Provider Identifier
1497623680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 400 King Arthurs Way
Youngsville, LA 70592-5791 - Phone
- (337) 445-9628
- NPI assigned
- Oct 28, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
400 King Arthurs Way
Youngsville, LA 70592-5791
Mailing address
400 King Arthurs Way
Youngsville, LA 70592-5791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260612002102 | LA | Order and Referring Only - Internal Medicine | 7810469657 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1497623680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 KING ARTHURS WAY",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 KING ARTHURS WAY",
"city": "YOUNGSVILLE",
"state": "LA",
"postal_code": "705925791",
"telephone_number": "337-445-9628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLEY",
"first_name": "TYSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-28",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngsville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.