Adria Dawn Thornburgh, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71008622A Issued in IN

Practice address

3660 Guion Rd Ste 210
Indianapolis, IN 46222-1691

Phone

(317) 688-1327

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adria.thornburgh.1@24435.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Axial Clinic in PC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1316617996

  KY, Psychiatric/Mental Health

  Medicare reassignment NPD
• Axial Clinic in PC

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1427790914
  NPD

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1124599394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 GUION RD STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221691",
            "telephone_number": "317-688-1327",
            "fax_number": "317-245-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 GUION RD STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221691",
            "telephone_number": "317-688-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBURGH",
        "first_name": "ADRIA",
        "middle_name": "DAWN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71008622A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karrie L Thomson, PA-C
• Molly Jane Thomson, RN
• Julia Christine Thorn
• Barbara Louise Thornburg, LCSW
• Karin Elleen Thornburg, MS, LMHC
• Elyse Lyn Thorne, NP
• Dionna Thornton
• H A Thornton, ND
• Lauren Nicole Thornton
• Madison Nicole Thornton

• All providers in Indianapolis, IN
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.