Organization Active NPI

Thrive Inc

  • Lactation Consultant (Registered Nurse)
  • Jackson, MS
National Provider Identifier
1053772004
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
902024 Issued in MS
Legal business name
THRIVE INC
Practice address
567 Warrior Trail
Jackson, MS 39216
Phone
(847) 716-0288
NPI assigned
Mar 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Grace Showalter, RN
Title
President
Phone
(847) 716-0288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X 902024 MS Primary

Addresses

Primary practice location

567 Warrior Trail
Jackson, MS 39216

Mailing address

567 Warrior Trail
Jackson, MS 39216
Phone (847) 716-0288

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1053772004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 WARRIOR TRAIL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "847-716-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 WARRIOR TRAIL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "847-716-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "SHOWALTER",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-716-0288",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MS",
            "license": "902024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.