Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tisha Dooley, CFNP

Individual provider Family Nurse Practitioner · NPI 1881692622

Tisha Dooley, CFNP is a Nurse Practitioner in Gonzales, Louisiana. Qualified in 1999, 27 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
27
Licensed in
LA
In the registry since
2005
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2647 S Saint Elizabeth Blvd Ste 100
Gonzales, LA 70737-5019
Phone: (225) 765-5500
Fax: (225) 644-5415
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP03455 (LA)

Record details

NPI number1881692622
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedJuly 13, 2005
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gonzales