Individual provider Active NPI

Demeka Underwood, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, LA
National Provider Identifier
1821481516
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
218900 Issued in LA
Practice address
1505 N Florida St
Covington, LA 70433-1544
Phone
(985) 900-1626
NPI assigned
Mar 5, 2015
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 218900 LA Primary
Registered Nurse 163W00000X RN139755 LA

Addresses

Primary practice location

1505 N Florida St
Covington, LA 70433-1544

Mailing address

37112 Cobblestone Ave
Geismar, LA 70734-3260
Phone (225) 978-4578

Other practice location 1

4336 North Blvd Ste 201
Baton Rouge, LA 70806-3920
Phone (225) 978-4578

Other practice location 2

711 Colonial Dr Ste D
Baton Rouge, LA 70806-6549
Phone (225) 246-2162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428000330 LA Practitioner - Nurse Practitioner 0547678781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8542 Siegen LN
Baton Rouge, LA 70810-1940
Phone (225) 290-5846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN139755LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Atluri & Associates, LLC CurrentSince Jun 26, 2024 Accepting new patients
Womans Physician Group CurrentSince Jun 2, 2025 Accepting new patients
Mending Minds Behavioral Health, LLC Psychiatric/Mental Health CurrentSince Jun 1, 2022 Accepting new patients

Locations

500 Rue de la Vie St
Ste 513
Baton Rouge, LA 70817
Phone (225) 767-1311

8542 Siegen Ln
Baton Rouge, LA 70810
Phone (225) 290-5846

8542 Siegen Ln
Ste C
Baton Rouge, LA 70810

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1821481516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37112 COBBLESTONE AVE",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "707343260",
            "telephone_number": "225-978-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N FLORIDA ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704331544",
            "telephone_number": "985-900-1626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4336 North Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708063920",
            "country_code": "US",
            "telephone_number": "225-978-4578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Colonial Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708066549",
            "country_code": "US",
            "telephone_number": "225-246-2162",
            "fax_number": "225-300-4797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "DEMEKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "218900",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN139755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.