Skye Consultorio Medico LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SKYE CONSULTORIO MEDICO LLC

Practice address

3813 Ross Clark Cir Ste 300
Dothan, AL 36303-2881

Phone

(334) 479-0505

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Robert Tate

Title

Ceo

Phone

(334) 233-8283

Specialties & licenses 1

Addresses

Locations

Practitioners 7

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

• Elva Calderon

  • Family Nurse Practitioner
  • Dothan, AL
  • NPI 1679012629
  NPD
• Ashley D. D'Elia, CRNP

  • Nurse Practitioner
  • Millbrook, AL
  • NPI 1013259316
  NPD
• Matthew Delk

  • Nurse Practitioner
  • Montgomery, AL
  • NPI 1194324426
  NPD
• Beverly Ann Gayle, CRNP

  • Primary Care Nurse Practitioner
  • Thomaston, AL
  • NPI 1841957180
  NPD
• Travis Lee Thompson, MD

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1831333830
  NPD
• Bruce Sheldon Trippe, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Dothan, AL
  • NPI 1700936200
  NPD
• Ramona Peters, NP

  • Acute Care Nurse Practitioner
  • Valley Grande, AL
  • NPI 1508529736
  NPD (past)

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1821835893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 N EASTERN BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172290",
            "telephone_number": "334-647-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 ROSS CLARK CIR STE 300",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032881",
            "telephone_number": "334-479-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYE CONSULTORIO MEDICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-233-8283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abinaya Sivakumar, MD
• Holly Sizemore
• Jonathan L. Skinner, M.D.
• Shirley Ann Skinner, CRNA
• Kelly Skipper, LPC
• Sleep Therapeutics Corporation
• Cliff Sloop IV, NP
• Sarah Elizabeth Sloop, PA-C
• Tracie Smith Morring
• Amber Smith, LPC

• Family Medicine Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.