Active NPI
Debra Bruin
- Doula
- Clarksville, TN
National Provider Identifier
1962033878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 1409 Mutual Dr
Clarksville, TN 37042-7090 - Phone
- (517) 528-6683
- NPI assigned
- Jan 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
1409 Mutual Dr
Clarksville, TN 37042-7090
Mailing address
1409 Mutual Dr
Clarksville, TN 37042-7090
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Dubsado | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1962033878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 MUTUAL DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370427090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 MUTUAL DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370427090",
"telephone_number": "517-528-6683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUIN",
"first_name": "DEBRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Dubsado",
"affiliation": "N",
"endpointDescription": "CRM",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Client system",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "None",
"address_1": "1409 Mutual Dr",
"city": "Clarksville",
"state": "TN",
"country_code": "US",
"postal_code": "370427090",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.