ANDREA D DEMARIA PMHNP-BC NPI 1821866401

NPI Information

  • NPI: 1821866401
  • Provider Name: ANDREA D DEMARIA, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 95 S LAUREL RD STE 1
    LONDON, KY
    ZIP 40744
  • Phone: (606) 770-5086

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NPI Details

Andrea D Demaria, PMHNP-BC is a psychiatric/mental health nurse practitioner in London, KY. Andrea D Demaria, PMHNP-BC NPI is 1821866401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

95 S LAUREL RD STE 1
LONDON, KY
ZIP 40744-300
Phone: (606) 770-5086
Fax: (863) 456-1301

The enumeration date for this NPI number is 12/13/2023 and was last updated on 1/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental HealthRN0000200386TENNESSEENo
2363LP0808XNurse PractitionerPsychiatric/Mental Health36635TENNESSEENo
3363LP0808XNurse PractitionerPsychiatric/Mental Health4025009KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17101023360MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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