Individual provider Active NPI

Jessyka Jeniece Williams Belle

  • Clinical Laboratory Director (Non-physician)
  • Columbus, MS
National Provider Identifier
1013625326
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
License
25D2270447 Issued in MS
Practice address
720 N Lehmberg Rd Ste 3
Columbus, MS 39702-4312
Phone
(800) 817-5101
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X MS
Clinical Laboratory Director (Non-physician) 247ZC0005X 25D2270447 MS Primary

Addresses

Primary practice location

720 N Lehmberg Rd Ste 3
Columbus, MS 39702-4312

Mailing address

606 21St Ave N
Columbus, MS 39701-2334
Phone (662) 574-6652

Other identifiers 1

IdentifierTypeStateIssuer
05MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 6625454212 TopLevel Healthcare LLC

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

State licenses

LicenseStateTypeSpecialty
25D2270447MSMDClinical Laboratory Director (Non-physician)

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1013625326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 21ST AVE N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397012334",
            "telephone_number": "662-574-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N LEHMBERG RD STE 3",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397024312",
            "telephone_number": "800-817-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS BELLE",
        "first_name": "JESSYKA",
        "middle_name": "JENIECE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "MS",
            "license": "25D2270447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "6625454212",
            "affiliation": "Y",
            "affiliationName": "TopLevel Healthcare LLC",
            "address_1": "720 N Lehmberg Rd Ste 3",
            "city": "Columbus",
            "state": "MS",
            "country_code": "US",
            "postal_code": "397024312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.