Big Tree Partners LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BIG TREE PARTNERS LLC

Practice address

2814 Indian Wells Rd
Alamogordo, NM 88310-3861

Phone

(575) 415-1927

NPI assigned

Jul 19, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Robert C Wiltshire

Title

Partner/Manager

Phone

(919) 349-6300

Specialties & licenses 4

Addresses

Other names 1

• Prompt Care and Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Sharon Brown, NP-C

  • Family Nurse Practitioner
  • Alamogordo, NM
  • NPI 1295132132

  Family, NM

  Medicare reassignment Care Compare group NPD
• Brian N Lara, APRN-CNP

  • Family Nurse Practitioner
  • Las Cruces, NM
  • NPI 1194299594

  Family, NM

  Medicare reassignment Care Compare group NPD
• Deirdre Wilkerson, NP-C

  • Family Nurse Practitioner
  • Alamogordo, NM
  • NPI 1932694700

  Family, NM

  Medicare reassignment Care Compare group NPD
• Holly A Powers, CNP

  • Acute Care Nurse Practitioner
  • Alamogordo, NM
  • NPI 1447624333

  NM

  Medicare reassignment NPD
• Michael Manuel Zavala, DNP

  • Family Nurse Practitioner
  • Las Cruces, NM
  • NPI 1730540261

  Family, NM

  Medicare reassignment NPD

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1720501943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 INDIAN WELLS RD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883103861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 INDIAN WELLS RD",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883103861",
            "telephone_number": "575-415-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG TREE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2021-01-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "WILTSHIRE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER/MANAGER",
        "authorized_official_telephone_number": "919-349-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prompt Care and Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Bertram
• Teresa Catherine Bess
• Bethel Baptist Counseling
• Betty Dare Wellness & Rehabilitation LLC
• Sireana Rochelle Bickham
• Abigail Billingsley
• Joanna Bishop
• Ariel M Black
• Amber Blackmon
• Kimiko Blair, MD

• All providers in Alamogordo, NM
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.