Organization Active NPI

Devous Aesthetic & Health Maintenance

  • Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1487468583
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
DEVOUS AESTHETIC & HEALTH MAINTENANCE
Doing business as
DeVous Aesthetic
Practice address
4907 Theater Dr
Evansville, IN 47715-8541
Phone
(618) 599-0342
NPI assigned
Feb 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Authorized official

Name
Mrs. Kathy S Devous, NPNPI 1538722202
Title
Owner
Phone
(618) 599-0342

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

4907 Theater Dr
Evansville, IN 47715-8541

Mailing address

2530 County Road 375 E
Mill Shoals, IL 62862-2116
Phone (618) 599-0342

Other names 1

  • DeVous Aesthetic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1487468583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 COUNTY ROAD 375 E",
            "city": "MILL SHOALS",
            "state": "IL",
            "postal_code": "628622116",
            "telephone_number": "618-599-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 THEATER DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158541",
            "telephone_number": "618-599-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOUS AESTHETIC & HEALTH MAINTENANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "DEVOUS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-599-0342",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeVous Aesthetic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.