Thrive Direct Health Care Sends 20,000 Texts a Year
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Carrie Scott
- September 16, 2026
Dr. Brianna is a nurse practitioner with a doctorate in family practice and sub-specialties in pain management and functional medicine, who spent five years at the University of Washington Department of Anesthesiology and Pain Medicine before opening Thrive Direct Health Care in her own small Washington town. Five years in, the hybrid direct primary care practice offers functional medicine, IV therapy, hormone replacement therapy, and a provider-assisted weight loss program alongside standard primary care. With Spruce, the practice sends more than 20,000 text messages a year and takes 50 to 80 unique callers or texters a day, sorted into assigned folders for refills, referrals, appointments, and urgent needs so staff always know where to look.
Dr. Brianna has always wanted to have her own rural practice and be an active member of a rural community. She also knew she never wanted to be stuck in the 10-15 minute rushed appointment slots that the current system provides. Thrive Direct Health Care is an innovative and affordable way of providing health care to communities and provide quality services when and where it is needed—through direct care and direct relationships with the provider and the patient.
What kind of work do you do?
I am a Nurse Practitioner with a doctorate degree in Family Practice and a sub-specialty in Pain Management as well as Functional Medicine and I have a different perspective on what health means and how to help patients obtain it. I opened Thrive Direct Health Care, a DPC hybrid practice in the State of Washington, to currently provide Functional Medicine, IV Therapy, Hormone Replacement Therapy, and a provider-assisted weight loss program, as well as standard primary care services.
How long have you been doing it?
We’ve been open for five years now.
What first brought you to Spruce?
I kept losing my second cell phone and needed to streamline communication with patients.
How do you use Spruce at work?
I have a full time person just for Spruce and scheduling. We send over 20,000 text messages per year and receive 50-80 unique callers or texters a day. We use the assigned folders to assign refill requests, referral needs, MA needs, appointment requests and urgent needs. My staff then know where to go to find and sort through the communication threads.
What is your favorite Spruce feature?
Auto messaging for my after hours or time off.
What do you like to do most when you’re not working?!
I am a mom of 2 elementary school aged kids. We enjoy family time at home watching movies and reading books.
Learn even more about Thrive Direct Health Care.
New to Spruce? Try it out FREE for 14 days: https://l.sprucehealth.com/startspruce
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