Provider Demographics
NPI:1316824113
Name:THRIVE STUDIO LLC
Entity type:Organization
Organization Name:THRIVE STUDIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:C
Authorized Official - Last Name:FEARNOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-820-2780
Mailing Address - Street 1:826 W 64TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-4704
Mailing Address - Country:US
Mailing Address - Phone:317-820-2780
Mailing Address - Fax:317-981-1544
Practice Address - Street 1:826 W 64TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-4704
Practice Address - Country:US
Practice Address - Phone:317-820-2780
Practice Address - Fax:317-981-1544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty