Organization Active NPI

Wayne Belaire Enterprises PLLC

  • Medical-Surgical Clinical Nurse Specialist
  • Port Neches, TX
National Provider Identifier
1558640599
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X
License
605997 Issued in TX
Legal business name
WAYNE BELAIRE ENTERPRISES PLLC
Practice address
3167 Mariannwood Dr
Port Neches, TX 77651-6015
Phone
(409) 626-1866
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Wayne Belaire, RNFANPI 1528365830
Title
Registered Nurse
Phone
(409) 626-1866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SM0705X 605997 TX Primary

Addresses

Primary practice location

3167 Mariannwood Dr
Port Neches, TX 77651-6015

Mailing address

PO Box 614
Port Neches, TX 77651-0614

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1558640599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 614",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776510614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 MARIANNWOOD DR",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776516015",
            "telephone_number": "409-626-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE BELAIRE ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "BELAIRE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "409-626-1866",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "TX",
            "license": "605997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Neches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.