Organization Active NPI

K D Wellness Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1093530370
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
K D WELLNESS CENTER LLC
Practice address
400 Travis St Ste 317
Shreveport, LA 71101-3103
Phone
(318) 230-7458
NPI assigned
Nov 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Ms. Marnitta Demming, APRNNPI 1225539984
Title
Owner
Phone
(318) 564-2330

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

400 Travis St Ste 317
Shreveport, LA 71101-3103

Mailing address

400 Travis St Ste 317
Shreveport, LA 71101-3103
Phone (318) 230-7458

National Provider Directory

National Provider Directory

Locations

400 Travis St
Ste 317
Shreveport, LA 71101
Phone (318) 230-7458

2829 Youree Dr
Ste 2
Shreveport, LA 71104
Phone (318) 286-0253

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": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1093530370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TRAVIS ST STE 317",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013103",
            "telephone_number": "318-230-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TRAVIS ST STE 317",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013103",
            "telephone_number": "318-230-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K D WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "DEMMING",
        "authorized_official_first_name": "MARNITTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-564-2330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.