Kelly Usborne Bruce
Individual provider Active NPI Doula · Fortuna, CA
NPI 1972301356 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1972301356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 824 Crissy Way
Fortuna, CA 95540-3152 - Phone
- (970) 471-9241
- NPI assigned
- Mar 3, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cannamommy.Org, Inc | Doula | Current |
Accepting new patients |
| Cannamommy Holistic Botanicals, LLC | Doula | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
824 Crissy Way
Fortuna, CA 95540-3152
Mailing address
824 Crissy Way
Fortuna, CA 95540-3152
Phone (970) 471-9241
Other providers in Fortuna, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.