Thrive Family Practice LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

THRIVE FAMILY PRACTICE LLC

Practice address

1921 Kaliste Saloom Rd Ste 117
Lafayette, LA 70508-6183

Phone

(337) 210-5827

Fax

(844) 482-4077

NPI assigned

Feb 15, 2023

Organization subpart

No

Name

Kristen Cannon Godeaux, FNPNPI 1467093237

Title

Owner- Family Nurse Practitioner

Phone

(337) 210-5827

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Cannon Godeaux, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1467093237

  Family

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2023.

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1346947744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BRIGHTWOOD DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087350",
            "telephone_number": "337-356-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 KALISTE SALOOM RD STE 117",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086183",
            "telephone_number": "337-210-5827",
            "fax_number": "844-482-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "GODEAUX",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "CANNON",
        "authorized_official_title_or_position": "OWNER- FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "337-210-5827",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Randal Thorpe, BS, RPSS, PS, CIT
• Danielle Jackson Threatts
• Tammy Sherell Threatts, LCSW
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• Courtney Tibbetts, PSY.D

• All providers in Lafayette, LA
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.