THRIVE HEALTHCARE FNP INC
NPI 1225785462
Family Medicine in Lake Havasu City, AZ
About Thrive Healthcare Fnp Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THRIVE HEALTHCARE FNP INC (NPI 1225785462) is a healthcare organization registered as a family medicine in Lake Havasu City, Arizona and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through May 30, 2028 and lists Jennifer Lake King, Np-c, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thrive Healthcare Fnp Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Thrive Healthcare Fnp Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2305485
Thrive Healthcare Fnp · Lake Havasu City, AZFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Thrive Healthcare Fnp Inc's NPI number?
The NPI number for Thrive Healthcare Fnp Inc is 1225785462. It was assigned to this organization in the NPPES registry on March 8, 2022.
Where is Thrive Healthcare Fnp Inc located?
Thrive Healthcare Fnp Inc is located at 1757 E Chestnut Blvd, Lake Havasu City, AZ 86404. The listed phone number is (270) 832-5930.
What is Thrive Healthcare Fnp Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Thrive Healthcare Fnp Inc enrolled in Medicare?
Yes. Thrive Healthcare Fnp Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Thrive Healthcare Fnp Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Thrive Healthcare Fnp Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Thrive Healthcare Fnp Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2305485) is associated with this NPI, valid through May 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Thrive Healthcare Fnp Inc was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Thrive Healthcare Fnp Inc · NPI 1225785462
Family Medicine organization in Lake Havasu City, Arizona. Organization record, active in the CMS NPPES registry since March 8, 2022.
## Identity
- **NPI:** 1225785462 (Entity type: Organization)
- **Enumerated:** March 8, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer King, NP-C
## Practice location
- **Address:** 1757 E CHESTNUT BLVD, Lake Havasu City, AZ 86404-8407
- **Phone:** (270) 832-5930
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2022
- **Other identifiers:** Medicaid 080555 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225785462) · Data from the CMS NPPES public registry.