Individual provider Active NPI

Kaya Florina Peterson, AUD

  • Audiologist
  • Santa Fe, NM
National Provider Identifier
1932608114
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
6379 Issued in NM
Practice address
435 Saint Michaels Dr Ste B104
Santa Fe, NM 87505-7671
Phone
(505) 820-9945
NPI assigned
Feb 2, 2018
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 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 6379 NM Primary

Addresses

Primary practice location

435 Saint Michaels Dr Ste B104
Santa Fe, NM 87505-7671

Mailing address

435 Saint Michaels Dr Ste B104
Santa Fe, NM 87505-7671
Phone (505) 946-3955

Other practice location 1

4200 Beckner Rd
Santa Fe, NM 87507-3774
Phone (505) 477-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180326000228 NM Practitioner - Qualified Audiologist 5092077420 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Health CurrentSince Oct 1, 2024 Accepting new patients
Nexus Health Primary Care LLC Past Accepting new patients

Locations

2085 S Pacheco St
Santa Fe, NM 87505
Phone (505) 395-3000

4200 Beckner Rd
Santa Fe, NM 87507
Phone (505) 477-2200

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1932608114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SAINT MICHAELS DR STE B104",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057671",
            "telephone_number": "505-946-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SAINT MICHAELS DR STE B104",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057671",
            "telephone_number": "505-820-9945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Beckner Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875073774",
            "country_code": "US",
            "telephone_number": "505-477-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KAYA",
        "middle_name": "FLORINA",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NM",
            "license": "6379",
            "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 29, 2025; 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.