JOHN DOUGLAS WATHEN


Address: 415 Mulberry St, Evansville, IN 47713-1230
Phone: 8124237791

JOHN DOUGLAS WATHEN (NPI# 1316562499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316562499
Entity Type Individual
Full Name JOHN DOUGLAS WATHEN
Credential RN, BSN, MSN, PMHNP
Practice Address 415 Mulberry St
Evansville
IN 47713-1230
Mailing Address 5566 Whitegate Ct
Newburgh
IN 47630-8274
Practice Telephone 8124237791
Mailing Telephone 8125899350
Enumeration Date 2020-06-14
Last Update Date 2020-10-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
28209048A IN Allopathic & Osteopathic Physicians
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
71010207A IN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
410 Mulberry St, Evansville, IN 477131231 8124237791

Office Location

Street Address 415 MULBERRY ST
City EVANSVILLE
State IN
Zip Code 47713-1230

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033108766 Southwestern Behavioral Healthcare, Inc. Clinic/Center 415 Mulberry St, Evansville, IN 47713-1230 2005-10-15
1922623024 Lydia Moll Social Worker 415 Mulberry St, Evansville, IN 47713-1230 2020-06-15
1154971919 Robbillie Stevenson Social Worker 415 Mulberry St, Evansville, IN 47713-1230 2019-09-13
1821640889 Andrew Wyeth Hatfield Social Worker 415 Mulberry St, Evansville, IN 47713-1230 2019-07-10
1417516790 Murphy Marie Jones Social Worker 415 Mulberry St, Evansville, IN 47713-1230 2019-06-10
1639737430 Emily Brooke Cox Social Worker 415 Mulberry St, Evansville, IN 47713-1230 2019-06-05
1396201596 Elizabeth M Treado Social Worker 415 Mulberry St, Evansville, IN 47713-1230 2019-02-13
1306300603 Sarah Ann Elrod Counselor 415 Mulberry St, Evansville, IN 47713-1230 2019-01-31
1659743664 Donna D Groves Counselor 415 Mulberry St, Evansville, IN 47713-1230 2015-10-29
1831565068 Anna Powers Social Worker 415 Mulberry St, Evansville, IN 47713-1230 2015-08-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942627526 Scacure Neworks, Inc Voluntary or Charitable 815 John Street, Suite 110, Evansville, IN 47713 2014-03-21
1356434948 James Mcfarland Galbraith Social Worker 500 E. Walnut St, Evansville, IN 47713 2006-10-02
1578657912 Norma J. Nickens Social Worker 500 E. Walnut St., Evansville, IN 47713 2006-10-02
1053402826 Douglas Floyd Fackler Physician Assistant Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 2006-09-27
1205930583 Elmer B Wannemuehler Social Worker 414 Se Fourth Street, Evansville, IN 47713 2006-09-08
1548287287 Barbara Witte Counselor 709 S E 2nd St, Evansville, IN 47713 2006-07-17
1265431209 Mary Beth Lodato Advanced Practice Midwife 316 Chandler Ave, Evansville, IN 47713 2005-07-20
1750380739 Select Specialty Hospital - Evansville LLC Long Term Care Hospital 400 Se 4th Street, Evansville, IN 47713 2005-07-20
1265439012 Elizabeth Ann Kalb Psychologist 315 Mulberry St, Evansville, IN 47713 2005-07-07
1306373782 Stacey Bane Pharmacist 415 Mulberry Street, Evansville, IN 47713 2017-05-17
Find all providers in zip 47713

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669973822 Sharon Jeanette Williams Nurse Practitioner 7300 E Indiana St # 103, Evansville, IN 47715-2794 2018-02-23
1144535030 Julie K Russell Nurse Practitioner 4770 Covert Ave Ste 101, Evansville, IN 47714-5600 2010-08-16
1700827755 Mayola Rowser Nurse Practitioner 415 Mulberry Street, Evansville, IN 47113-1230 2006-06-09
1407469323 Laura E Miller Nurse Practitioner 4972 Lincoln Ave Ste 101, Evansville, IN 47715-7909 2020-08-29
1679128045 Cindy Ledbetter Psychiatric Np LLC Nurse Practitioner 2015 Maxwell Ave, Evansville, IN 47711-4359 2019-08-02
1538679493 Amanda Goff Nurse Practitioner 7300 E Indiana St, Evansville, IN 47715-2794 2017-10-05
1396260782 Amy Greenfield Abuasabeh Nurse Practitioner 7300 E Indiana St Ste 103, Evansville, IN 47715-2794 2017-08-07
1912300542 Matrika J Brown Nurse Practitioner 60 S Stockwell Rd, Evansville, IN 47714-0247 2014-09-26
1386817559 Katherine B Riedford Nurse Practitioner 60 S Stockwell Rd, Evansville, IN 47714-0247 2008-04-09
1528242187 M Jeanette Kinman Nurse Practitioner 415 Mulberry St, Evansville, IN 47713-1230 2007-12-19
Find all providers in EVANSVILLE

Competitor

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City EVANSVILLE
Zip Code 47713

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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