MRS. SHELLEY HENSON BELVIN (NPI# 1508301235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508301235 |
| Entity Type | Individual |
| Full Name | MRS. SHELLEY HENSON BELVIN |
| Credential | FNP-C |
| Practice Address |
950 N 14th St Ste 100 Beaumont TX 77702-1112 |
| Mailing Address |
2955 Harrison St Park Medical I, Suite 301 Beaumont TX 77702-1154 |
| Practice Telephone | 4098335858 |
| Mailing Telephone | 4099231650 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP132930 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 387280601 | 05 |
| Street Address |
950 N 14TH ST STE 100 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903055 | Gregory Todd Parkhurst | Nurse Anesthetist, Certified Registered | 950 N 14th St Ste 100, Beaumont, TX 77702-1112 | 2005-06-23 |
| 1245570407 | Jennifer Anne Ishmael | Nurse Practitioner | 950 N 14th St Ste 100, Beaumont, TX 77702-1112 | 2013-02-26 |
| 1326207341 | Moazzam Mohammad Sana | Internal Medicine | 950 N 14th St Ste 100, Beaumont, TX 77702-1112 | 2008-06-04 |
| 1760510119 | Michael John Ieyoub | Nurse Anesthetist, Certified Registered | 950 N 14th St Ste 100, Beaumont, TX 77702-1112 | 2007-02-28 |
| 1457363020 | Yolanda Lopez De La Rosa | Nurse Practitioner | 950 N 14th St Ste 100, Beaumont, TX 77702-1112 | 2006-08-12 |
| 1740247519 | Joseph William Holland Jr. | Internal Medicine | 950 N 14th St Ste 100, Beaumont, TX 77702-1112 | 2006-04-27 |
| 1497712350 | Keith Arnold Wied | Internal Medicine | 950 N 14th St Ste 100, Beaumont, TX 77702-1112 | 2006-04-26 |
| 1518923838 | Andrew Henry Barenberg | Internal Medicine | 950 N 14th St Ste 100, Beaumont, TX 77702-1112 | 2006-04-25 |
| 1619933843 | Raja Sekhar Chennupati | Internal Medicine | 950 N 14th St Ste 100, Beaumont, TX 77702-1112 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725718 | Wendi Ellen Ames | Nurse Practitioner | 350 Pine St Ste 755, Beaumont, TX 77701-2437 | 2020-09-18 |
| 1093340697 | Amber Tenille Goldsmith | Nurse Practitioner | 4347 Phelan Blvd, Beaumont, TX 77707-2159 | 2020-03-04 |
| 1851925267 | Trey Perkins | Nurse Practitioner | 3650 N Major Dr Ste A, Beaumont, TX 77713-9573 | 2020-02-25 |
| 1972141158 | Lisa Marie Davila | Nurse Practitioner | 14870 Michelle Ln, Beaumont, TX 77713-2308 | 2019-12-18 |
| 1467095224 | Fines Pafira Pruett | Nurse Practitioner | 35232 Hogan Dr, Beaumont, CA 92223-7407 | 2019-10-24 |
| 1952944399 | Kevin Ray Jones | Nurse Practitioner | 6040 Carrie Ln, Beaumont, TX 77713-4192 | 2019-10-17 |
| 1447891320 | Summer Mcclain | Nurse Practitioner | 740 Hospital Dr Ste 250, Beaumont, TX 77701-4666 | 2019-10-02 |
| 1114579059 | Amy Rae Hederman | Nurse Practitioner | 3070 College St Ste 100b, Beaumont, TX 77701-4652 | 2019-07-11 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1548824253 | Lisa Marie Leger | Nurse Practitioner | 3129 College St Ste 200, Beaumont, TX 77701-4682 | 2019-04-29 |
| Find all providers in BEAUMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.