Big Tree Medical of El Paso

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BIG TREE MEDICAL OF EL PASO

Practice address

5500 Doniphan Dr Ste 201-202
El Paso, TX 79932-1454

Phone

(915) 455-1119

Fax

(877) 209-8941

NPI assigned

Oct 29, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tanya Marin, DNP, APRN, CPNP-PC/A

Title

Owner

Phone

(915) 740-4344

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1366264483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 DONIPHAN DR STE 201-202",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321454",
            "telephone_number": "915-455-1119",
            "fax_number": "877-209-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 DONIPHAN DR STE 201-202",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321454",
            "telephone_number": "915-455-1119",
            "fax_number": "877-209-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG TREE MEDICAL OF EL PASO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "MARIN",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-740-4344",
        "authorized_official_credential": "DNP, APRN, CPNP-PC/A"
    },
    "taxonomies": [
        {
            "code": "2080B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.