Individual provider Active NPI

Kourtney S Bush

  • Audiologist-Hearing Aid Fitter
  • Santa Fe, NM
National Provider Identifier
1760197487
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
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

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230220002758 NM Practitioner - Qualified Audiologist 8527430552 Reassigns benefits to 2 organizations

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
Nexus HealthGroup PAC ID 9234509282, 31 clinicians

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

LicenseStateTypeSpecialty
AUD22006NMMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Hearing Center, PA CurrentSince Dec 6, 2022 Accepting new patients
Nexus Health CurrentSince Oct 1, 2024 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.

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.

Verify at the official NPI Registry.