Individual provider Active NPI

Lisa Ann Pulsipher, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Santa Fe, NM
National Provider Identifier
1104179423
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AUD5267 Issued in NM
Practice address
5 Caliente Rd # 5
Santa Fe, NM 87508-9100
Phone
(505) 466-7526
Fax
(505) 466-7528
NPI assigned
Oct 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AUD5267 NM Primary

Addresses

Primary practice location

5 Caliente Rd # 5
Santa Fe, NM 87508-9100

Mailing address

5 Caliente Rd # 5
Santa Fe, NM 87508-9100
Phone (505) 466-7526

Other identifiers 1

IdentifierTypeStateIssuer
1104179423OtherNPI

Other names 1

  • Dr. Lisa Ann Pulsipher Kaiser Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130611000096 NM Practitioner - Qualified Audiologist 1153560818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eldorado Audiology and Hearing CenterGroup PAC ID 9133356926, 2 clinicians

Practice addresses (Care Compare)

5 Caliente Rd
Suite 5
Santa Fe, NM 87508-9100
Phone (505) 466-7526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD5267NMMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Eldorado Audiology and Hearing Center Audiologist-Hearing Aid Fitter CurrentSince Jan 1, 2022 Accepting new patients
Premier Hearing Center LLC Audiologist-Hearing Aid Fitter Past Accepting new patients
Cynthia Simonetti, LLC PastSince Jan 1, 2022 Accepting new patients

Locations

5 Caliente Rd
Ste 5
Santa Fe, NM 87508
Phone (505) 466-7526

5 Caliente Rd
Ste 5A
Santa Fe, NM 87508
Phone (505) 466-7526

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1104179423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALIENTE RD # 5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089100",
            "telephone_number": "505-466-7526",
            "fax_number": "505-466-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALIENTE RD # 5",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089100",
            "telephone_number": "505-466-7526",
            "fax_number": "505-466-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULSIPHER",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "AUD5267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104179423",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PULSIPHER KAISER",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "AUD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.