Individual provider Active NPI

Callie Dawn Beauchamp, AUD.

  • Audiologist-Hearing Aid Fitter
  • Albuquerque, NM
National Provider Identifier
1598929515
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
4664 Issued in NM
Practice address
7520 Montgomery Blvd NE
Suite E-15
Albuquerque, NM 87109-1521
Phone
(505) 872-4327
Fax
(505) 872-1041
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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 4664 NM Primary

Addresses

Primary practice location

7520 Montgomery Blvd NE
Suite E-15
Albuquerque, NM 87109-1521

Mailing address

5116 Sunningdale Ave NE
Albuquerque, NM 87110-5852
Phone (480) 812-4620

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100514000369 NM Practitioner - Qualified Audiologist 1658409495 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4664NMMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Worth Hearing Center PC Audiologist-Hearing Aid Fitter CurrentSince Feb 8, 2010 Accepting new patients

Locations

2033 Wyoming Blvd NE
Albuquerque, NM 87112
Phone (505) 872-4327

7520 Montgomery Blvd NE
Bldg E15
Albuquerque, NM 87109
Phone (505) 226-6380

1350 Jackie Rd SE
Ste 103
Rio Rancho, NM 87124
Phone (505) 872-4327

Organizations & group practices 1

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": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1598929515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 SUNNINGDALE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105852",
            "telephone_number": "480-812-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MONTGOMERY BLVD NE",
            "address_2": "SUITE E-15",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091521",
            "telephone_number": "505-872-4327",
            "fax_number": "505-872-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHAMP",
        "first_name": "CALLIE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "AUD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "4664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.