Active NPI
Deaconess Clinic, Inc.
- Family Medicine Physician
- Evansville, IN
National Provider Identifier
1336053362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DEACONESS CLINIC, INC.
- Practice address
- 5001 Healthy Way
Evansville, IN 47715-1102 - Phone
- (812) 426-9700
- Fax
- (812) 858-2196
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Annette Wathen
- Title
- Cfo
- Phone
- (812) 450-3296
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
5001 Healthy Way
Evansville, IN 47715-1102
Mailing address
5001 Healthy Way
Evansville, IN 47715-1102
Phone (812) 426-9700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1336053362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 HEALTHY WAY",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477151102",
"telephone_number": "812-426-9700",
"fax_number": "812-858-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 HEALTHY WAY",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477151102",
"telephone_number": "812-426-9700",
"fax_number": "812-858-2196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEACONESS CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "WATHEN",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "ANNETTE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "812-450-3296"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
- Deaconess Clinic, Inc. (Deaconess Clinic - Felstead)
- Deaconess Clinic, Inc.
- Deaconess Clinic, Inc. (Deaconess Clinic I)
- Deaconess Clinic, Inc. (Deaconess Clinic - Behavioral Health Psychology)
- Deaconess Clinic, Inc. (Deaconess Clinic - DC at Work Berry Global)
- Deaconess Clinic, Inc.
- Deaconess Clinic, Inc.
- Deaconess Clinic, Inc.
- Deaconess Clinic, Inc. (Deaconess Clinic I)
- Deaconess Clinic, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.