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BURGEONING HEALTH PROVIDERS, LLC
NPI 1972136919
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN

Active since February 18, 2020
646 MASSACHUSETTS AVE, INDIANAPOLIS, IN 46204(317) 659-5095(317) 350-0043 Get Directions Write a Review

NPPES record last updated: September 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2021, Mar 19, 2020, Feb 18, 2020 (3 updates tracked since 2020).

About Burgeoning Health Providers, Llc NPPES

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

BURGEONING HEALTH PROVIDERS, LLC (NPI 1972136919) is a healthcare organization registered as a psychiatric/mental health in Indianapolis, Indiana and active in the NPI registry since February 2020. The organization lists Malinda Butler, Manager, as its authorized official.

NPPES Registry Identity

NPI1972136919
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBURGEONING HEALTH PROVIDERS
Location Address646 MASSACHUSETTS AVEIndianapolis, IN 46204-1607
Mailing Address2345 N Alabama StIndianapolis, IN 46205-4320 · (317) 659-5905
Phone(317) 659-5095
Fax(317) 350-0043
Organization SubpartNo
Authorized OfficialMalinda ButlerManager · (317) 659-5905
Enumeration DateFebruary 18, 2020
Last NPPES UpdateSeptember 11, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2021
✔ NPI 1972136919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
646 MASSACHUSETTS AVE, Indianapolis, IN 46204
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Other Names 1

Other NameBurgeoning Health Providers, Llc

Other Identifiers 1

Medicaid300021924IN

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 CareSource.Insurance ›

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 Burgeoning Health Providers's NPI number?

The NPI number for Burgeoning Health Providers is 1972136919. It was assigned to this organization in the NPPES registry on February 18, 2020. The provider is also known as Burgeoning Health Providers, LLC.

Where is Burgeoning Health Providers located?

Burgeoning Health Providers is located at 646 Massachusetts Ave, Indianapolis, IN 46204. The listed phone number is (317) 659-5095.

What is Burgeoning Health Providers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Burgeoning Health Providers accept?

Health plans from CareSource list Burgeoning Health Providers 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 Burgeoning Health Providers was last updated on September 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.