Individual provider Active NPI

Marni G Underwood, APRN

  • Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1891797304
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP134988 Issued in TX
Practice address
6342 Phelan Blvd
Beaumont, TX 77706-6150
Phone
(281) 783-8162
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 101469 MT
Nurse Practitioner 363L00000X AP134988 TX Primary

Addresses

Primary practice location

6342 Phelan Blvd
Beaumont, TX 77706-6150

Mailing address

32 Wicks LN
SVP - Heights Family Practice
Billings, MT 59105-3810
Phone (406) 237-8300

Other names 1

  • Marni G Keck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180507000548 TX Practitioner - Nurse Practitioner 3678558525 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Care Medical, PLLCGroup PAC ID 5799040754, 4 clinicians
Acorn Medical HomeGroup PAC ID 9537536883, 4 clinicians

Practice addresses (Care Compare)

1650 Texas Ave
Suite E
Bridge City, TX 77611-3501
Phone (833) 698-6825

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101469MTMDNurse Practitioner
AP134988TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Express of the Beaumont Area PA CurrentSince Apr 13, 2021 Accepting new patients
Nluc PLLC CurrentSince Sep 1, 2022 Accepting new patients
Acorn Medical Home CurrentSince Jan 4, 2024 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Nluc PLLC Current Accepting new patients
Nluc PLLC CurrentSince Sep 1, 2022 Accepting new patients
Gulf Coast Health Center, Inc PastSince Jan 23, 2018 Accepting new patients
Hot Springs MRI Center PastSince Mar 1, 2008 Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients

Locations

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

6342 Phelan Blvd
Beaumont, TX 77706
Phone (281) 783-7182

1650 Texas Ave
Ste G
Bridge City, TX 77611
Phone (833) 698-6825

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

5568 Weslayan St
Houston, TX 77005
Phone (713) 666-7050

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1031 Nederland Ave
Nederland, TX 77627
Phone (409) 540-9418

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1891797304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WICKS LN",
            "address_2": "SVP - HEIGHTS FAMILY PRACTICE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591053810",
            "telephone_number": "406-237-8300",
            "fax_number": "406-237-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6342 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066150",
            "telephone_number": "281-783-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "MARNI",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "101469",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARNI",
            "last_name": "KECK",
            "middle_name": "G",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.