Jessenia Belis

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

324091 Issued in NY

Practice address

105 Howells Rd Apt B1
Bay Shore, NY 11706-6429

Phone

(347) 765-8750

NPI assigned

May 28, 2020

Sex

Female

Sole proprietor

Yes

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 28, 2020.

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1124641832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HOWELLS RD APT B1",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HOWELLS RD APT B1",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066429",
            "telephone_number": "347-765-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELIS",
        "first_name": "JESSENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "324091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bay Shore, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.