THRIVE FAMILY CHIROPRACTIC AND NUTRITION, PLLC (NPI# 1093242125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093242125 |
| Entity Type | Organization |
| Organization Name | THRIVE FAMILY CHIROPRACTIC AND NUTRITION, PLLC |
| Practice Address |
6356 Phelan Blvd Beaumont TX 77706-6150 |
| Practice Telephone | 4093478606 |
| Practice Fax Number | 4094203086 |
| Mailing Telephone | (409) 347-8606 |
| Mailing Fax Number | 4094203086 |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-08-15 |
| Authorized Official Name | DR. TIFFANY A CORONADO (OWNER) |
| Authorized Official Telephone | 4093478606 |
| Authorized Official Credential | DC, PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 13483 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 587017 | 01 |
| Street Address |
6356 PHELAN BLVD |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-6150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366763187 | Tiffany April Coronado | Chiropractor | 6356 Phelan Blvd, Beaumont, TX 77706-6150 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457734345 | David J Rowell | Chiropractor | 701 Highland Springs Ave Ste 8, Beaumont, CA 92223-2551 | 2015-07-09 |
| 1851734750 | Brittany Marie Guillory | Chiropractor | 7060 Phelan Blvd Suite 101, Beaumont, TX 77706 | 2013-04-10 |
| 1588902886 | Greentree Health | Chiropractor | 87 Ih 10 N Ste 100, Beaumont, TX 77707-2542 | 2013-01-21 |
| 1366763187 | Tiffany April Coronado | Chiropractor | 6356 Phelan Blvd, Beaumont, TX 77706-6150 | 2010-06-16 |
| 1124344387 | Sean Michael Roden | Chiropractor | 2750 Interstate 10 E Ste 200, Beaumont, TX 77703-4979 | 2010-04-13 |
| 1093049850 | N&n Pain & Injury Clinic, Pa | Chiropractor | 7985 Phelan Blvd, Beaumont, TX 77706-5720 | 2009-09-28 |
| 1013155043 | James Joseph Leblanc | Chiropractor | 1595 Cornerstone Ct, Suite A, Beaumont, TX 77706-3899 | 2009-01-29 |
| 1215128889 | Phillip K. Leblanc | Chiropractor | 1595 Cornerstone Ct Ste A, Beaumont, TX 77706-3899 | 2007-08-07 |
| 1740480698 | Dark & Kaibel, D.c.'s | Chiropractor | 851 E. 6th Street, Suite B-1, Beaumont, CA 92223-2217 | 2007-07-19 |
| 1639370117 | Beaumont Chiropractic | Chiropractor | 890 Beaumont Ave, Beaumont, CA 92223-5937 | 2007-05-30 |
| Find all providers in BEAUMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.