Jerissa P Belsha, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

N1550 Issued in TX

Practice address

6769 Lake Woodlands Dr
Suite E
The Woodlands, TX 77382-2770

Phone

(281) 210-1200

Fax

(281) 210-1210

NPI assigned

Sep 18, 2009

Last updated

Dec 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1730412065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6769 LAKE WOODLANDS DR",
            "address_2": "SUITE E",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822770",
            "telephone_number": "281-210-1200",
            "fax_number": "281-210-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6769 LAKE WOODLANDS DR",
            "address_2": "SUITE E",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822770",
            "telephone_number": "281-210-1200",
            "fax_number": "281-210-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELSHA",
        "first_name": "JERISSA",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N1550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Behnke, DC
• Harini Pal Bejjanki, MD
• Gloria Leticia Belew, APRN
• Eric A Bell, PSYD
• Staci Ann Zeil Bell, MA, MSN, APRN, FNP-C
• Ariel Beltran
• Beverly Lemonne Benjamin-Bubb, LPC-A
• Brian Bennett, MD, MPH
• James Bennett, M.D.
• Benny J. Sanchez, M.D. & Associates

• Pediatrics Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.