Thrive Wellness and Primary Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THRIVE WELLNESS AND PRIMARY CARE, LLC

Practice address

1025 Military TRL Ste 211
Jupiter, FL 33458-7040

Phone

(561) 406-3082

Fax

(561) 658-2616

NPI assigned

Apr 3, 2023

Organization subpart

No

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

Authorized official

Name

Amanda Graham, APRNNPI 1710503875

Title

Owner

Phone

(561) 406-3082

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

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

• Amanda Lynn Graham

  • Primary Care Nurse Practitioner
  • Jupiter, FL
  • NPI 1710503875
  Medicare reassignment Care Compare group NPD Authorized official
• Jaime Elizabeth Ruble, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Jupiter, FL
  • NPI 1669246625
  Medicare reassignment Care Compare group NPD
• Evelio E Sardina, MD PHD

  • Critical Care Medicine (Internal Medicine) Physician
  • Stuart, FL
  • NPI 1932171204
  NPD

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696032000000",
    "number": "1912602491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MILITARY TRL STE 211",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587040",
            "telephone_number": "561-406-3082",
            "fax_number": "561-658-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MILITARY TRL STE 211",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587040",
            "telephone_number": "561-406-3082",
            "fax_number": "561-658-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE WELLNESS AND PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-406-3082",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delight C. a. Thompson, PSY.D., ED.M.
• Travis Thompson
• Cathy B Thomson, MD
• Thorough Pharmacists Inc
• Three Palms Dental
• Steven M Tidwell, M.D.
• Richard Milton Tiegen, A.P., D.M.D.
• Vivian Ellen Tiegen, RDN.,L.D.N., C.D.E.
• Tiny Shooting Stars Inc.
• Toby and Christine Honsberger, LLC.

• Primary Care Clinic/Center in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; 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.