Organization Active NPI

Thrive Adult and Senior Primary Care

  • Gerontology Nurse Practitioner
  • Avon, IN
National Provider Identifier
1912814591
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
THRIVE ADULT AND SENIOR PRIMARY CARE
Practice address
8517 Kingston St
Avon, IN 46123-6018
Phone
(317) 772-9145
NPI assigned
Aug 27, 2026
Last updated
Aug 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Authorized official

Name
Bukola F Sholabi, AGNP-PCNPI 1265383202
Title
Owner/Managing Member
Phone
(317) 772-9145

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

8517 Kingston St
Avon, IN 46123-6018

Mailing address

8517 Kingston St
Avon, IN 46123-6018
Phone (317) 772-9145

National Provider Directory

National Provider Directory

Locations

8517 Kingston St
Avon, IN 46123
Phone (317) 772-9145

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": "1787788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1912814591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8517 KINGSTON ST",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236018",
            "telephone_number": "317-772-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8517 KINGSTON ST",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236018",
            "telephone_number": "317-772-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE ADULT AND SENIOR PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-27",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "SHOLABI",
        "authorized_official_first_name": "BUKOLA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "317-772-9145",
        "authorized_official_credential": "AGNP-PC"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.