Organization Active NPI

Thrivewell Functional Pediatrics

  • Medical Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1619807153
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
THRIVEWELL FUNCTIONAL PEDIATRICS
Practice address
1321 46TH Ave NE
St Petersburg, FL 33703-4101
Phone
(727) 761-7111
NPI assigned
May 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Christy Delcamp, PA-CNPI 1942506134
Title
Owner, PA-C
Phone
(727) 761-7111

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
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

1321 46TH Ave NE
St Petersburg, FL 33703-4101

Mailing address

1321 46TH Ave NE
St Petersburg, FL 33703-4101
Phone (727) 761-7111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1619807153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 46TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034101",
            "telephone_number": "727-761-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 46TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337034101",
            "telephone_number": "727-761-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVEWELL FUNCTIONAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "DELCAMP",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER, PA-C",
        "authorized_official_telephone_number": "727-761-7111",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.