Organization Active NPI

Thrive Care LLC

  • Psychiatry Physician
  • Fredericksburg, VA
National Provider Identifier
1790653095
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
THRIVE CARE LLC
Practice address
9718 Glenn Brooke CT
Fredericksburg, VA 22407-9240
Phone
(571) 242-0413
NPI assigned
Oct 28, 2025
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Nadia BanguraNPI 1073157228
Title
Owner
Phone
(323) 676-1281

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

9718 Glenn Brooke CT
Fredericksburg, VA 22407-9240

Mailing address

9718 Glenn Brooke CT
Fredericksburg, VA 22407-9240
Phone (571) 242-0413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260204004114 VA Part B Supplier - Clinic/Group Practice 0244719722 Receives reassigned benefits from 1 practitioner
Practice locations: Fredericksburg, VA
O20260304004178 DC Part B Supplier - Clinic/Group Practice 0244719722 Receives reassigned benefits from 1 practitioner
Practice locations: Landover Hills, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1790653095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9718 GLENN BROOKE CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079240",
            "telephone_number": "571-242-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9718 GLENN BROOKE CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079240",
            "telephone_number": "571-242-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "BANGURA",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-676-1281"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.