Active NPI
Kathleen C Bruce, CNM
- Midwife
- Wellesley Hills, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 274548
- Practice address
- 173 Worcester St
Wellesley Hills, MA 02481-5521 - Phone
- (781) 237-0080
- NPI assigned
- May 21, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 274548 | MA | Primary |
Addresses
Primary practice location
173 Worcester St
Wellesley Hills, MA 02481-5521
Mailing address
173 Worcester St
Wellesley Hills, MA 02481-5521
Phone (781) 237-0080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274548 | Other | MA | NURSE MIDWIFE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast St. John'S Hospital | Past | Accepting new patients |
Locations
6936 Pine Arbor Dr S
Ste 100
Cottage Grove, MN 55016
Phone (651) 326-5800
1215 Town Centre Dr
Eagan, MN 55123
Phone (651) 326-1515
14688 Everton Ave N
Ste 101
Hugo, MN 55038
Phone (651) 275-4706
2945 Hazelwood St
Maplewood, MN 55109
Phone (651) 232-7800
2680 Snelling Ave N
Ste 200
Saint Paul, MN 55113
Phone (651) 326-1600
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800
870 Grand Ave
Saint Paul, MN 55105
Phone (651) 326-5650
1690 University Ave W
Ste 370
Saint Paul, MN 55104
Phone (651) 232-5321
1983 Sloan Pl
Ste 1
Saint Paul, MN 55117
Phone (651) 326-5700
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
17 Exchange St W
Ste 835
Saint Paul, MN 55102
Phone (651) 232-4200
1099 Helmo Ave N
Ste 100
Saint Paul, MN 55128
Phone (651) 326-5300
980 Rice St
Saint Paul, MN 55117
Phone (651) 326-9020
2900 Curve Crest Blvd W
Stillwater, MN 55082
Phone (651) 471-5600
480 Highway 96 E
Vadnais Heights, MN 55127
Phone (651) 326-5900
1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Interoperability endpoints
- kbruce627660@fairview.direct-ci.com
Organizations & group practices 6
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.
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Family Medicine Physician
- Roseville, MN
- NPI 1053620187
-
- Clinic/Center
- Maplewood, MN
- NPI 1689616716
-
- Clinic/Center
- Saint Paul, MN
- NPI 1730128398
-
- Clinic/Center
- Saint Paul, MN
- NPI 1871549741
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396953204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 WORCESTER ST",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024815521",
"telephone_number": "781-237-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 WORCESTER ST",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024815521",
"telephone_number": "781-237-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "KATHLEEN",
"middle_name": "C",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MA",
"license": "274548",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE MIDWIFE LICENSE",
"identifier": "274548",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.