MEDICARE: U THRIVE HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1083303127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	U THRIVE HEALTH LLC

Provider Business Mailing Address
First Line	:	5411 GRAND BLVD STE 109
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4010
Country	:	US
Telephone Number	:	469-915-4211
Fax Number	:

Provider Business Practice Location Address
First Line	:	5411 GRAND BLVD STE 109
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4010
Country	:	US
Telephone Number	:	469-915-4211
Fax Number	:

Authorized Official
Title or Position	:	DNP, APRN, PMHNP-BC, FNP-C
Name	:	GENCI SHKEMBI
Credential	:	APRN
Telephone Number	:	469-915-4211

Provider Enumeration Date	:	05/04/2023
Last Update Date	:	03/18/2026

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