Organization Active NPI

Thryve Family Healthcare, LLC

  • Family Medicine Physician
  • Broken Bow, NE
National Provider Identifier
1992654917
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THRYVE FAMILY HEALTHCARE, LLC
Practice address
2021 S E St Ste 1
Broken Bow, NE 68822-1811
Phone
(308) 767-2770
Fax
(308) 767-2775
NPI assigned
Jan 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Laci Kai Scott, NPNPI 1033657820
Title
Owner
Phone
(308) 767-2770

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2021 S E St Ste 1
Broken Bow, NE 68822-1811

Mailing address

PO Box 128
Broken Bow, NE 68822-0128
Phone (308) 767-2770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260424001422 NE Part B Supplier - Clinic/Group Practice 7315414596 Receives reassigned benefits from 1 practitioner
Practice locations: Broken Bow, NE

National Provider Directory

National Provider Directory

Locations

2021 S E St
Ste 1
Broken Bow, NE 68822
Phone (308) 872-5800

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": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1992654917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688220128",
            "telephone_number": "308-767-2770",
            "fax_number": "308-767-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 S E ST STE 1",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688221811",
            "telephone_number": "308-767-2770",
            "fax_number": "308-767-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRYVE FAMILY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LACI",
        "authorized_official_middle_name": "KAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-767-2770",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.