David Olatunbosun Fowope, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71016847A Issued in IN

Practice address

7830 Johnson Rd
Indianapolis, IN 46250-2075

Phone

(317) 396-0683

NPI assigned

Jul 17, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eniola-David Olatunbosun Fowope Professional name

Medicare fee-for-service enrollment

Enrolled in IN

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Viaquest Community Solutions LLCGroup PAC ID 5991298085, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Flourishington LLC

  • Clinic/Center
  • Lafayette, IN
  • NPI 1619840899

  Multi-Specialty

  Medicare reassignment NPD Authorized official
• Viaquest Community Solutions, LLC

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1508594094

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Viaquest Holdings LTD

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1275876385

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1871485359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 JOHNSON RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502075",
            "telephone_number": "317-396-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 JOHNSON RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502075",
            "telephone_number": "317-396-0683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9165 Otis Ave Ste 164",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462162312",
            "country_code": "US",
            "telephone_number": "765-209-8193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWOPE",
        "first_name": "DAVID",
        "middle_name": "OLATUNBOSUN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-17",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71016847A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300065740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENIOLA-DAVID",
            "last_name": "FOWOPE",
            "middle_name": "OLATUNBOSUN",
            "credential": "D. FOWOPE PMHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Megan Fowler, R.N. B.S.N.
• Michael Edward Fowler III, MD, MPH
• Suzanne Fowler, L/ATC, CSCS, CEAS
• Tricia Fowler, CRCC
• Ronald D Fowlkes
• Amy Christine Fox, P.A.
• Dianna L Fox, MD
• Irene S Fox, MD
• Jennifer E Fox, LCSW
• Joe Blinn Fox, MD

• Psychiatric/Mental Health Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.