Active NPI
Marni G Underwood, APRN
- Nurse Practitioner
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP134988
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 101469 | MT | MD | Nurse Practitioner |
| AP134988 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Express of the Beaumont Area PA | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients | |
| Acorn Medical Home | Current | Accepting new patients | |
| Southlake Doctors Express, PA PSC | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients | |
| Gulf Coast Health Center, Inc | Past | Accepting new patients | |
| Hot Springs MRI Center | Past | 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.
-
- Family Medicine Physician
- Bridge City, TX
- NPI 1457099558
-
- Multi-Specialty Clinic/Center
- Bridge City, TX
- NPI 1811495575
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1841525235
-
- Urgent Care Clinic/Center
- Houston, TX
- NPI 1518209113
-
- Urgent Care Clinic/Center
- League City, TX
- NPI 1043814049
-
- Urgent Care Clinic/Center
- Katy, TX
- NPI 1972152965
-
- Urgent Care Clinic/Center
- Southlake, TX
- NPI 1942519335
-
- Federally Qualified Health Center (FQHC)
- Port Arthur, TX
- NPI 1205275054
-
- Urgent Care Clinic/Center
- Waxahachie, TX
- NPI 1235633306
-
- Magnetic Resonance Imaging Radiologic Technologist
- Hot Springs, AR
- NPI 1801896410
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.