Active NPI
K D Wellness Center LLC
- Psychiatric/Mental Health Nurse Practitioner
- Shreveport, LA
National Provider Identifier
1093530370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marnitta Demming, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Shreveport, LA
- NPI 1225539984
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.