Individual provider Active NPI

Debra K Higginbotham, MD

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1861460446
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2000-208 Issued in NM
Practice address
2019 Galisteo St Ste N9A
Santa Fe, NM 87505-2111
Phone
(505) 820-1482
Fax
(505) 982-0696
NPI assigned
Mar 9, 2006
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2000-208 NM Primary

Addresses

Primary practice location

2019 Galisteo St Ste N9A
Santa Fe, NM 87505-2111

Mailing address

2019 Galisteo St Ste N9A
Santa Fe, NM 87505-2111
Phone (505) 820-1482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071110000161 NM Practitioner - Family Practice 5496843336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Full Circle Healing Family Practice, LLCGroup PAC ID 7618913435, 5 clinicians

Practice addresses (Care Compare)

2019 Galisteo St
Suite N9A
Santa Fe, NM 87505-2111
Phone (505) 820-1482

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Healing Family Practice, LLC Family Medicine CurrentSince Jun 23, 2020 Accepting new patients
Patrick Okeefe Chiropractic Inc CurrentSince Mar 1, 2021 Accepting new patients
Santa Fe Medical Group, LLC Past Accepting new patients

Locations

1421 Luisa St
Ste A
Santa Fe, NM 87505
Phone (505) 820-1482

2019 Galisteo St
Ste N9A
Santa Fe, NM 87505
Phone (505) 820-1482

Interoperability endpoints

  • Direct secure messaging: debra.higginbotham.1@30754.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1861460446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE N9A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052111",
            "telephone_number": "505-820-1482",
            "fax_number": "505-982-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST STE N9A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052111",
            "telephone_number": "505-820-1482",
            "fax_number": "505-982-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "DEBRA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "2000-208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.