Organization Active NPI

Fervent Health Care LLC

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1124763214
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FERVENT HEALTH CARE LLC
Practice address
602 N High School Rd Ste B
Indianapolis, IN 46214-3695
Phone
(317) 605-2630
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Gloria Chidinma Nwachukwu, NP
Title
Nurse Practitioner
Phone
(317) 605-2630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

602 N High School Rd Ste B
Indianapolis, IN 46214-3695

Mailing address

12392 Cool Winds Way
Fishers, IN 46037-4488
Phone (317) 605-2630

Other names 1

  • GLORIOUS MOBILE AND TELEMEDICINE LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1124763214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12392 COOL WINDS WAY",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460374488",
            "telephone_number": "317-605-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N HIGH SCHOOL RD STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143695",
            "telephone_number": "317-605-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERVENT HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "NWACHUKWU",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "CHIDINMA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "317-605-2630",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLORIOUS MOBILE AND TELEMEDICINE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.