Dana Brooke Underwood

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

902268 Issued in MS

Practice address

2682 W Oxford Loop Ste 130
Oxford, MS 38655-5441

Phone

(662) 371-1543

NPI assigned

Sep 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Phillips Pediatrics, LLC

  • Pediatrics Physician
  • Oxford, MS
  • NPI 1487205829
  NPD
• Lafayette Pediatric Clinic

  • Pediatric Adolescent Medicine Physician
  • Oxford, MS
  • NPI 1144418609
  NPD (past)

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1972021608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CUMBERLAND RDG",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386559231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 W OXFORD LOOP STE 130",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555441",
            "telephone_number": "662-371-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "DANA",
        "middle_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "902268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyson Big Tree LLC
• James Loyd Tyson Jr., M.S
• Matthew Miller Ueleke, BA
• Cady Ujvari, MA
• Sami Ullah
• University of Mississippi
• University of Mississippi Counseling Center
• University Sports Medicine PLLC
• Sharon C Upton, ACNP
• Urgent Care Clinic of Oxford

• Pediatric Nurse Practitioner in Oxford, MS
• Providers in Oxford, MS by specialty
• Pediatric Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.