Organization Active NPI

Thrive Pediatrics and Wellness, PLLC

  • Pediatrics Physician
  • Lake Park, NC
National Provider Identifier
1235993270
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
THRIVE PEDIATRICS AND WELLNESS, PLLC
Practice address
3800 Meeting St Ste 222
Lake Park, NC 28079-6582
Phone
(980) 987-3991
Fax
(980) 987-3998
NPI assigned
Feb 9, 2024
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Dr. Kristin K Strange, MDNPI 1568451144
Title
Owner and Ceo
Phone
(704) 576-2231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

3800 Meeting St Ste 222
Lake Park, NC 28079-6582

Mailing address

3800 Meeting St Ste 222
Lake Park, NC 28079-6582
Phone (704) 576-2231

Other practice location 1

3800 Meeting St Ste 222
Lake Park, NC 28079-6582
Phone (980) 897-3991

Other names 1

  • Thrive Pediatrics and Wellness Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2305267Thrive Pediatrics and Wellness, PLLC3800 Meeting Street, Suite 222, Lake Park, NC 28079Certificate of waiverMay 28, 2028

National Provider Directory

National Provider Directory

Locations

3800 Meeting St
Ste 222
Lake Park, NC 28079
Phone (704) 576-2231

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1235993270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 MEETING ST STE 222",
            "city": "LAKE PARK",
            "state": "NC",
            "postal_code": "280796582",
            "telephone_number": "704-576-2231",
            "fax_number": "980-987-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 MEETING ST STE 222",
            "city": "LAKE PARK",
            "state": "NC",
            "postal_code": "280796582",
            "telephone_number": "980-987-3991",
            "fax_number": "980-987-3998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Meeting St Ste 222",
            "address_purpose": "LOCATION",
            "city": "Lake Park",
            "state": "NC",
            "postal_code": "280796582",
            "country_code": "US",
            "telephone_number": "980-897-3991",
            "fax_number": "980-987-3998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVE PEDIATRICS AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "STRANGE",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "704-576-2231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thrive Pediatrics and Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Thrive Pediatrics and Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Park, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.