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THRIVE PEDIATRICS, LLC
NPI 1669934220
Pediatrics in Meridian, ID

Active since April 03, 2019CLIA Certified · 3 labs
4740 N PENNGROVE WAY, SUITE 210, MERIDIAN, ID 83646(208) 514-0203(855) 818-2019 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, Apr 3, 2019 (2 updates tracked since 2019).

About Thrive Pediatrics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THRIVE PEDIATRICS, LLC (NPI 1669934220) is a healthcare organization registered as a pediatrics in Meridian, Idaho and active in the NPI registry since April 2019. The organization holds 3 active CLIA laboratory certificates and lists Brandon M Taylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1669934220
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTHRIVE PEDIATRICS, LLC
Location Address4740 N PENNGROVE WAY, SUITE 210Meridian, ID 83646
Mailing Address4740 N Penngrove Way, Suite 210Meridian, ID 83646 · (208) 514-0203 · Fax (855) 818-2019
Phone(208) 514-0203
Fax(855) 818-2019
Organization SubpartNo
Authorized OfficialBrandon M TaylorOwner · (208) 789-6893
Enumeration DateApril 3, 2019
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1669934220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4740 N PENNGROVE WAY, Meridian, ID 83646
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 13D2169089

Thrive Pediatrics · Meridian, ID
Active · expires Jul 15, 2027
CLIA Number13D2169089
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorTaylor M. Brandon
Laboratory Phone(208) 514-0203
Laboratory LocationThrive Pediatrics4740 N Penngrove Way #210, Meridian, ID 83646
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2307949

Thrive Pediatrics · Meridian, ID
Active · expires Jul 16, 2028
CLIA Number13D2307949
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorBrandon M. Taylor
Laboratory Phone(208) 514-0203
Laboratory LocationThrive Pediatrics1435 E Phenomenal St, Meridian, ID 83642
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2256708

Thrive Pediatrics · Meridian, ID
Active · expires Mar 27, 2028
CLIA Number13D2256708
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorBrandon M. Taylor
Laboratory Phone(208) 514-0203
Laboratory LocationThrive Pediatrics3090 E Gentry Way Ste 210, Meridian, ID 83642
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE A DOMANGUE-SHIFLETT MD
Family Medicine
4740 N PENNGROVE WAY, STE 100
MERIDIAN, ID 83646
Ada County (208) 938-3663
JULIE JOANNA FRANDEN DNP, NP-C
Nurse Practitioner (Primary Care)
4740 N PENNGROVE WAY, STE 100
MERIDIAN, ID 83646
Ada County (208) 938-3663
MR. RICHARD M MCCONKIE JR. NP-C
Nurse Practitioner
4740 N PENNGROVE WAY
MERIDIAN, ID 83646
Ada County (208) 514-0203
JOSIE F FARMER NP-C
Nurse Practitioner (Family)
4740 N PENNGROVE WAY, STE 100
MERIDIAN, ID 83646
Ada County (208) 938-3663
CAREY MICHAEL HENSON MSN, FNP-C
Nurse Practitioner (Family)
4740 N PENNGROVE WAY
MERIDIAN, ID 83646
Ada County (208) 938-3663
LAURA EATON NP-C
Nurse Practitioner (Gerontology)
4740 N PENNGROVE WAY, STE 100
MERIDIAN, ID 83646
Ada County (208) 938-3663

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 Pediatrics, LLC's NPI number?

The NPI number for Thrive Pediatrics, LLC is 1669934220. It was assigned to this organization in the NPPES registry on April 3, 2019.

Where is Thrive Pediatrics, LLC located?

Thrive Pediatrics, LLC is located at 4740 N Penngrove Way Suite 210, Meridian, ID 83646. The listed phone number is (208) 514-0203.

What is Thrive Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Thrive Pediatrics, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Thrive Pediatrics, LLC accept?

Health plans from Moda Health Plan, Inc. list Thrive Pediatrics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thrive Pediatrics, LLC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.