Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Lisa K Bushnell, CFNP

Individual provider Family Nurse Practitioner · NPI 1174524912

Miss. Lisa K Bushnell, CFNP is a Nurse Practitioner in Taos, New Mexico. Qualified in 2004, 22 years ago. Practices with Epiphany Dermatology of New Mexico, LLC, a 30-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
22
Licensed in
NM
In the registry since
2005

Practice location Address checks out

1353 Paseo Del Pueblo Sur Ste D
Taos, NM 87571-5958
Phone: (575) 613-8090
Fax: (575) 613-8091
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP01307 (NM)

Record details

NPI number1174524912
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESFebruary 15, 2023
Certification dateFebruary 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Epiphany Dermatology Of New Mexico, Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Taos