Individual provider Active NPI

Kevin Dane Potts, AUD

  • Audiologist
  • Colorado Springs, CO
National Provider Identifier
1679735609
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD.0000846 Issued in CO
Practice address
2060 Briargate Pkwy Ste 120
Colorado Springs, CO 80920-7699
Phone
(719) 301-3800
Fax
(719) 301-3855
NPI assigned
Jul 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD.0000846 CO Primary

Addresses

Primary practice location

2060 Briargate Pkwy Ste 120
Colorado Springs, CO 80920-7699

Mailing address

2060 Briargate Pkwy Ste 120
Colorado Springs, CO 80920-7699
Phone (719) 301-3800

Other practice location 1

1625 Medical Center Pt Ste 230
Colorado Springs, CO 80907-5748
Phone (719) 301-3800

Other identifiers 2

IdentifierTypeStateIssuer
51624OtherTXTEXAS LICENSE
01115630OtherASHA CERTIFICATION NUMBER

Other names 1

  • Kevin Potts Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250916001784 CO Practitioner - Qualified Audiologist 4284687294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1125 Kelly Johnson Blvd
Suite 200
Colorado Springs, CO 80920-3928

2060 Briargate Pkwy
Suite 120
Colorado Springs, CO 80920-5005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD.0000846COMDAudiologist

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1679735609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 BRIARGATE PKWY STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207699",
            "telephone_number": "719-301-3800",
            "fax_number": "719-301-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 BRIARGATE PKWY STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207699",
            "telephone_number": "719-301-3800",
            "fax_number": "719-301-3855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Medical Center Pt Ste 230",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809075748",
            "country_code": "US",
            "telephone_number": "719-301-3800",
            "fax_number": "719-301-3855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTS",
        "first_name": "KEVIN",
        "middle_name": "DANE",
        "name_prefix": "Mr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0000846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "51624",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATION NUMBER",
            "identifier": "01115630",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "POTTS",
            "credential": "M.S.,CCC-A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.