MEDICARE: THRIVE MIDWIFERY & FAMILY CARE PROFESSIONAL LIMITED LIABILITY COM

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1457196099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE MIDWIFERY & FAMILY CARE PROFESSIONAL LIMITED LIABILITY COM

Provider Business Mailing Address
First Line	:	421 S 4TH ST # 2
Second Line	:
City	:	DANVILLE
State	:	KY
Zip	:	40422-2083
Country	:	US
Telephone Number	:	606-706-9253
Fax Number	:

Provider Business Practice Location Address
First Line	:	421 S 4TH ST # 2
Second Line	:
City	:	DANVILLE
State	:	KY
Zip	:	40422-2083
Country	:	US
Telephone Number	:	606-706-9253
Fax Number	:

Authorized Official
Title or Position	:	APRN
Name	:	MACKENZIE BISHOP
Credential	:	APRN
Telephone Number	:	606-706-9253

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	12/03/2025

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