Phyllis Lalena Belk, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

082217 Issued in LA

Practice address

1080 Springwood LN
Shreveport, LA 71107-8356

Phone

(318) 564-1202

NPI assigned

Nov 21, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Phyllis Joan Belk Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1992102727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 SPRINGWOOD LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711078356",
            "telephone_number": "318-564-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 SPRINGWOOD LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711078356",
            "telephone_number": "318-564-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELK",
        "first_name": "PHYLLIS",
        "middle_name": "LALENA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "LA",
            "license": "082217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "BELK",
            "middle_name": "JOAN",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Critical Care Medicine Registered Nurse in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Critical Care Medicine Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.