Organization Active NPI

Thrive Studio LLC

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1316824113
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THRIVE STUDIO LLC
Practice address
826 W 64TH St
Indianapolis, IN 46260-4704
Phone
(317) 820-2780
Fax
(317) 981-1544
NPI assigned
Aug 21, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Dr. Annette C. Fearnot, MD
Title
Physican/Owner
Phone
(317) 820-2780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

826 W 64TH St
Indianapolis, IN 46260-4704

Mailing address

826 W 64TH St
Indianapolis, IN 46260-4704
Phone (317) 820-2780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251023003846 IN Part B Supplier - Clinic/Group Practice 5294223970 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2329073Thrive Studio LLC826 West 64TH Street Suite 106, 107, 109, Indianapolis, IN 46260Certificate of waiverAug 20, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1316824113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 W 64TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462604704",
            "telephone_number": "317-820-2780",
            "fax_number": "317-981-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W 64TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462604704",
            "telephone_number": "317-820-2780",
            "fax_number": "317-981-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "FEARNOT",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICAN/OWNER",
        "authorized_official_telephone_number": "317-820-2780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.