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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
410 Mulberry St, Evansville, IN 477131231 | 8124237791 |
Street Address |
415 MULBERRY ST |
City | EVANSVILLE |
State | IN |
Zip Code | 47713-1230 |
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 |
Find all providers in the same location |
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 Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
City | EVANSVILLE |
Zip Code | 47713 |
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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.