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DEACONESS CLINIC I
NPI 1003159997
Pediatrics in Henderson, KY

Active since March 29, 2013CLIA Certified · 2 labs
1035 N ELM ST, HENDERSON, KY 42420(270) 827-4596(270) 826-2838 Get Directions Write a Review

NPPES record last updated: August 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deaconess Clinic I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEACONESS CLINIC I (NPI 1003159997) is a healthcare organization registered as a pediatrics in Henderson, Kentucky and active in the NPI registry since March 2013. The organization holds 2 active CLIA laboratory certificates and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003159997
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDEACONESS CLINIC, INC
Location Address1035 N ELM STHenderson, KY 42420-2712
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (270) 827-4596 · Fax (270) 826-2838
Phone(270) 827-4596
Fax(270) 826-2838
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateMarch 29, 2013
Last NPPES UpdateAugust 10, 2017
✔ NPI 1003159997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
1035 N ELM ST, Henderson, KY 42420
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Other Names 1

Doing Business AsDeaconess Clinic I

Other Identifiers 1

Medicaid7100051620KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0897017

Deaconess Clinic Henderson · Henderson, KY
Active · expires Sep 30, 2027
CLIA Number18D0897017
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorDr. Scott Watkins
Laboratory Phone(270) 215-7477
Laboratory LocationDeaconess Clinic Henderson1300 Merritt Drive, Suite 100, Henderson, KY 42420
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2062879

Deaconess Clinic Ped Elm St · Henderson, KY
Active · expires Jul 22, 2027
CLIA Number18D2062879
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorDr. Eric Ervin
Laboratory Phone(270) 827-7512
Laboratory LocationDeaconess Clinic Ped Elm St2018 N Elm Street, Henderson, KY 42420
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARA LYNN SAGEZ-BARNETT O.D.
Optometrist
1035 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 577-1724
HENDERSON PEDIATRICS, PSC
Pediatrics (Adolescent Medicine)
1035 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 827-4596
HOMETOWN VISION CARE LLC
Optometrist
1035 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 577-1724

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deaconess Clinic, Inc's NPI number?

The NPI number for Deaconess Clinic, Inc is 1003159997. It was assigned to this organization in the NPPES registry on March 29, 2013. The provider is doing business as Deaconess Clinic I.

Where is Deaconess Clinic, Inc located?

Deaconess Clinic, Inc is located at 1035 N Elm St, Henderson, KY 42420. The listed phone number is (270) 827-4596.

What is Deaconess Clinic, Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Deaconess Clinic, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Deaconess Clinic, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Deaconess Clinic, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deaconess Clinic, Inc was last updated on August 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.