MEDICARE: THRIVE HEALTH HOLDINGS, INC.

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	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1477414860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THRIVE HEALTH HOLDINGS, INC.

Provider Business Mailing Address
First Line	:	2810 N CHURCH ST UNIT 26129
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19802-4447
Country	:	US
Telephone Number	:	406-560-7083
Fax Number	:

Provider Business Practice Location Address
First Line	:	15411 W WADDELL RD STE 102-1061
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-5170
Country	:	US
Telephone Number	:	406-560-7083
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AMBER GILL
Credential	:
Telephone Number	:	406-560-7083

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	12/08/2025

Similar Medicare Providers

1528260676 — TIFFANY NICOLE GODWIN PHD
Practice Location Address:

15411 W WADDELL RD STE 102-1073
SURPRISE, AZ
85379-5170

Practice Phone: 850-739-2332
Practice Fax: 623-632-0097

1275984288 — MR. R WEST PA
Practice Location Address:

15411 W WADDELL RD STE 102
SURPRISE, AZ
85379-5170

Practice Phone: 623-396-6840
Practice Fax:

1194497719 — TANAEA EVETTE WRIGHT
Practice Location Address:

15411 W WADDELL RD
SURPRISE, AZ
85379-5170

Practice Phone: 480-400-3544
Practice Fax:

1942072822 — ROYULTY BY DEZIGN ENTERPRIZE INC
Practice Location Address:

15411 W WADDELL RD STE 1326
SURPRISE, AZ
85379-5170

Practice Phone: 480-400-3825
Practice Fax:

1386480960 — KIMBERLEE J SMITH CHIAGO LPC
Practice Location Address:

15411 W WADDELL RD , STE 102 PMB 1211
SURPRISE, AZ
85379-5170

Practice Phone: 623-239-3939
Practice Fax: 480-542-2239

1558190819 — PATHEWAY LIFE
Practice Location Address:

15411 W WADDELL RD STE 102
SURPRISE, AZ
85379-5170

Practice Phone: 708-698-0033
Practice Fax:

Directions to “THRIVE HEALTH HOLDINGS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.