Melody Marie Underberg

Individual provider Active NPI Licensed Practical Nurse · Humboldt, SD

NPI 1679438014 · NPPES record last updated Dec 18, 2025

Key facts

NPI
1679438014
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
P006371 (SD)
Practice address
45650 265TH St
Humboldt, SD 57035-6813
Phone
(605) 336-3230
Fax
(605) 861-6913
NPI assigned
Dec 18, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P006371SDMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X P006371 SD Yes

Addresses

Primary practice location

45650 265TH St
Humboldt, SD 57035-6813

Mailing address

45650 265TH St
Humboldt, SD 57035-6813
Phone (605) 336-3230

Other providers in Humboldt, SD

All providers in Humboldt, SD · Licensed Practical Nurse in South Dakota

Sources for this page

Verify at the official NPI Registry.