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THRIVE HEALTHCARE FNP INC
NPI 1225785462
Family Medicine in Lake Havasu City, AZ

Active since March 08, 2022CLIA 03D2305485 · Waiver
1757 E CHESTNUT BLVD, LAKE HAVASU CITY, AZ 86404(270) 832-5930 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1225785462
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTHRIVE HEALTHCARE FNP INC
Location Address1757 E CHESTNUT BLVDLake Havasu City, AZ 86404-8407
Mailing Address1757 E Chestnut BlvdLake Havasu City, AZ 86404-8407 · (270) 832-5930
Phone(270) 832-5930
Organization SubpartNo
Authorized OfficialJennifer Lake KingNp-c · (270) 832-5930
Enumeration DateMarch 8, 2022
NPPES CertifiedMarch 5, 2022
✔ NPI 1225785462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1757 E CHESTNUT BLVD, Lake Havasu City, AZ 86404
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Other Identifiers 1

Medicaid080555AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, AZ
Active · expires May 30, 2028
CLIA Number03D2305485
Laboratory TypeMobile Laboratory
Certificate Effective DateMay 31, 2026
Certificate Expiration DateMay 30, 2028
Laboratory DirectorJennifer King
Laboratory Phone(270) 832-5930
Laboratory LocationThrive Healthcare Fnp1840 Mesquite Ave Ste B, Lake Havasu City, AZ 86403
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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.

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.