Organization Active NPI

Thrive Community Outreach

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Lawrenceville, GA
National Provider Identifier
1316335078
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X
License
RN124271 Issued in GA
Legal business name
THRIVE COMMUNITY OUTREACH
Practice address
230 S Culver St
Lawrenceville, GA 30046-4806
Phone
(770) 449-2151
NPI assigned
Jan 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Authorized official

Name
Taren Lazzari, NP
Title
President
Phone
(770) 449-2151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 028884 GA
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0810X RN124271 GA Primary

Addresses

Primary practice location

230 S Culver St
Lawrenceville, GA 30046-4806

Mailing address

230 S Culver St
Lawrenceville, GA 30046-4806
Phone (770) 449-2151

National Provider Directory

National Provider Directory

Locations

230 S Culver St
Lawrenceville, GA 30046
Phone (678) 883-8609

NPI Registry JSON

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

{
    "created_epoch": "1420416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1316335078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S CULVER ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464806",
            "telephone_number": "770-449-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S CULVER ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464806",
            "telephone_number": "770-449-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE COMMUNITY OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-05",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "LAZZARI",
        "authorized_official_first_name": "TAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-449-2151",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "028884",
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "GA",
            "license": "RN124271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.