Active NPI
Kourtney S Bush
- Audiologist-Hearing Aid Fitter
- Santa Fe, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Practice address
- 4200 Beckner Rd
Santa Fe, NM 87507-3774 - Phone
- (505) 477-2200
- Fax
- (505) 782-1902
- NPI assigned
- Jan 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AUD22006 | NM | |
| Audiologist-Hearing Aid Fitter | 237600000X | Primary |
Addresses
Primary practice location
4200 Beckner Rd
Santa Fe, NM 87507-3774
Mailing address
2800 S Meadows Rd Unit 623
Santa Fe, NM 87507-3682
Phone (318) 554-8082
Other practice location 1
435 Saint Michaels Dr Ste B104
Santa Fe, NM 87505-7671
Phone (505) 946-3955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4200 Beckner Rd
Santa Fe, NM 87507-3774
Phone (505) 477-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AUD22006 | NM | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Hearing Center, PA | Current | Accepting new patients | |
| Nexus Health | Current | Accepting new patients | |
| Nexus Health Primary Care LLC | Past | Accepting new patients |
Locations
435 Saint Michaels Dr
Ste B104
Santa Fe, NM 87505
Phone (505) 820-9945
4200 Beckner Rd
Santa Fe, NM 87507
Phone (505) 477-2200
2085 S Pacheco St
Santa Fe, NM 87505
Phone (505) 395-3000
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.
-
- Multi-Specialty Clinic/Center
- Santa Fe, NM
- NPI 1801516489
-
- Otolaryngology Physician
- Santa Fe, NM
- NPI 1457445942
-
- Family Medicine Physician
- Santa Fe, NM
- NPI 1093903320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1760197487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 S MEADOWS RD UNIT 623",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875073682",
"telephone_number": "318-554-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 BECKNER RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875073774",
"telephone_number": "505-477-2200",
"fax_number": "505-782-1902"
}
],
"practiceLocations": [
{
"address_1": "435 Saint Michaels Dr Ste B104",
"address_purpose": "LOCATION",
"city": "Santa Fe",
"state": "NM",
"postal_code": "875057671",
"country_code": "US",
"telephone_number": "505-946-3955",
"fax_number": "505-303-4688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSH",
"first_name": "KOURTNEY",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-17",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NM",
"license": "AUD22006",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 28, 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.