Individual provider Active NPI

Kathleen C Bruce, CNM

  • Midwife
  • Wellesley Hills, MA
National Provider Identifier
1396953204
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
274548 Issued in MA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
274548OtherMANURSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818001282 MN Practitioner - Certified Nurse Midwife (CNM) 3375677818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Jul 28, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.