TRACY SLADE TYLER (NPI# 1770190068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770190068 |
| Entity Type | Individual |
| Full Name | TRACY SLADE TYLER |
| Credential | LPN |
| Practice Address |
36605 Outback Rd Denham Springs LA 70706-8545 |
| Practice Telephone | 2256673135 |
| Mailing Telephone | 2256673135 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 990505 | LA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154365 | Tracy Dawn Tyler | Nurse Practitioner | 11111 Houze Rd Ste 225, Roswell, GA 30076-5618 | 2019-10-08 |
| Street Address |
36605 OUTBACK RD |
| City | DENHAM SPRINGS |
| State | LA |
| Zip Code | 70706-8545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374662 | Melissa Wang-cwieka | Speech-Language Pathologist | 36605 Outback Rd, Denham Springs, LA 70706-8545 | 2020-07-24 |
| 1386253912 | Allison Richardson | Speech-Language Pathologist | 36605 Outback Rd, Denham Springs, LA 70706-8545 | 2020-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902273337 | Noor Isam Azzawe | Pharmacist | 34025 Louisiana Highway 16, Denham Springs, LA 70706 | 2015-09-02 |
| 1043583784 | Wal-mart Stores East Lp | Technician/Technologist | 34025 La Hwy 16, Denham Springs, LA 70706 | 2012-02-10 |
| 1326358524 | Narconon Louisiana New Life Retreat | Substance Abuse Rehabilitation Facility | 35059 Bend Rd, Denham Springs, LA 70706 | 2010-10-21 |
| 1497971592 | Michael S Sceroler | Dentist | 8050 Watson Circle, Denham Springs, LA 70706 | 2007-04-17 |
| 1679583645 | Ellis Edward Johnson IIi | Physical Therapist | 35055 La Hwy 16, Ste 1c, Denham Springs, LA 70706 | 2006-08-09 |
| 1881602720 | Melanie Harrell Sharp | Nurse Practitioner | S1498 Hwy 16, St Helena Parish Hospital Rural Health Clinic, Denham Springs, LA 70706 | 2006-08-04 |
| 1760420244 | Mandy Erwin | Nurse Practitioner | 35700 La Hwy 16, Denham Springs, LA 70706 | 2006-06-04 |
| 1215350111 | Valencia Vernon | Pharmacist | 34025 La Hwy 16, Denham Springs, LA 70706 | 2014-01-28 |
| 1912276478 | Christy Scott Rider | Physical Therapist | 35055 La Hwy 16, Suite 1-c, Denham Springs, LA 70706 | 2011-12-29 |
| 1063707016 | Joshua C Leblanc | Physical Therapist | 35055 La Hwy 16, Ste 1-c, Denham Springs, LA 70706 | 2011-06-17 |
| Find all providers in zip 70706 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981686 | Elizabeth Joy Martin | Licensed Practical Nurse | 36079 La Highway 16, Denham Springs, LA 70706-0599 | 2020-08-04 |
| 1972002731 | Jennifer Elizabeth Blackwell | Licensed Practical Nurse | 1920 Florida Ave Sw, Denham Springs, LA 70726-4970 | 2018-02-07 |
| 1063813525 | Colleen Busby | Licensed Practical Nurse | 8369 Florida Blvd, Ste 1, Denham Springs, LA 70726-7862 | 2014-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625678 | Jenna Nelson | Licensed Practical Nurse | 194 Austins Rd, Minden, LA 71055-7673 | 2020-10-07 |
| 1205449774 | Kendra Bradford | Licensed Practical Nurse | 6525 Park Manor Dr Apt 42, Metairie, LA 70003-3959 | 2020-08-25 |
| 1083227607 | Bridgette Lynette Litton | Licensed Practical Nurse | 1037 Highland Dr, Mansfield, LA 71052-4809 | 2020-08-24 |
| 1306458575 | Georgia K Papizan | Licensed Practical Nurse | 13909 Florida Blve, Livingston, LA 70754 | 2020-08-19 |
| 1902416811 | Krystal Murphy Henderson | Licensed Practical Nurse | 31450 Walker Rd N, Walker, LA 70785-5105 | 2020-08-05 |
| 1710505367 | Keishea Mitchell | Licensed Practical Nurse | 3184 Harrison St, Vacherie, LA 70090-7035 | 2020-07-09 |
| 1982228284 | Delana Patrics Fontenot | Licensed Practical Nurse | 2438 Jake Dr Apt 4b, Opelousas, LA 70570-7719 | 2020-06-02 |
| 1821625757 | Shacarria Nashelle Owens | Licensed Practical Nurse | 1121 Heatherwood Dr, Shreveport, LA 71107-5534 | 2020-03-23 |
| 1508492216 | Jesscia Elizabeth Sanders | Licensed Practical Nurse | 3631 Elysian Fields Ave, New Orleans, LA 70122-4553 | 2020-03-14 |
| 1851923338 | Sandy Hoffman | Licensed Practical Nurse | 800 W William David Pkwy, Metairie, LA 70005-2122 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
| City | DENHAM SPRINGS |
| Zip Code | 70706 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.