Active NPI
Flourishington LLC
- Clinic/Center
- Lafayette, IN
National Provider Identifier
1619840899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- FLOURISHINGTON LLC
- Practice address
- 7304 Combine Dr
Lafayette, IN 47905-9542 - Phone
- (765) 209-8193
- NPI assigned
- Sep 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Olatunbosun Fowope, PMHNP-BC
- Title
- Ceo
- Phone
- (765) 209-8193
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
7304 Combine Dr
Lafayette, IN 47905-9542
Mailing address
7304 Combine Dr
Lafayette, IN 47905-9542
Phone (765) 209-8193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9165 Otis Ave
Ste 164
Indianapolis, IN 46216
Phone (317) 517-5722
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Indianapolis, IN
- NPI 1871485359
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766880000000",
"number": "1619840899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7304 COMBINE DR",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479059542",
"telephone_number": "765-209-8193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7304 COMBINE DR",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479059542",
"telephone_number": "765-209-8193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOURISHINGTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-24",
"last_updated": "2025-12-28",
"certification_date": "2025-12-28",
"status": "A",
"authorized_official_last_name": "FOWOPE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "OLATUNBOSUN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "765-209-8193",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.