Kellie E Bruce, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

550481 Issued in TX

Practice address

7008 Indiana Avenue
Suite a
Lubbock, TX 79413

Phone

(806) 788-1377

Fax

(806) 281-1567

NPI assigned

Dec 1, 2006

Last updated

Dec 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: kellie.bruce@direct.myteamcare.com

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1154499879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 INDIANA AVENUE",
            "address_2": "SUITE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79413",
            "telephone_number": "806-788-1377",
            "fax_number": "806-281-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 INDIANA AVENUE",
            "address_2": "SUITE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79413",
            "telephone_number": "806-788-1377",
            "fax_number": "806-281-1567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 40th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794042746",
            "country_code": "US",
            "telephone_number": "806-743-9355",
            "fax_number": "806-743-9363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "KELLIE",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "550481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CombestWellness@direct.myteamcare.com",
            "affiliation": "N",
            "endpointDescription": "Combest",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 40th St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794042746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy Brown, MD, PHD
• Elizabeth Brownlee
• Brittney A Brozo, FNP-C
• Bruce a Schrader DDS PLLC
• Jon Christian Bruce, MD
• Brian James Bruening, M.D.
• Alys Jessica Bruton
• Segelle Lynn Bryan, F.N.P.
• Vicki S Bryan, MT,MTI
• Todd Charles Bryant, M.ED LPC

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.