BURGEONING HEALTH PROVIDERS NPI 1972136919

NPI Information

NPI: 1972136919
Provider Name: BURGEONING HEALTH PROVIDERS

Other Name: BURGEONING HEALTH PROVIDERS, LLC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
646 MASSACHUSETTS AVE
INDIANAPOLIS, IN
ZIP 46204
Phone: (317) 659-5095
Get Directions

BURGEONING HEALTH PROVIDERS is a psychiatric/mental health nurse practitioner in Indianapolis, IN. BURGEONING HEALTH PROVIDERS NPI is 1972136919. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Burgeoning Health Providers, Llc.

The provider's business location address is:

646 MASSACHUSETTS AVE
INDIANAPOLIS, IN
ZIP 46204-607
Phone: (317) 659-5095
Fax: (317) 350-0043

The provider's authorized official is Malinda Butler .
The authorized official title is Manager and has the following contact phone number (317) 659-5905.

The enumeration date for this NPI number is 2/18/2020 and was last updated on 9/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300021924	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »