What is Kassidy Nissen's NPI number?

Kassidy Nissen's National Provider Identifier (NPI) is 1073460507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kassidy Nissen's specialty?

Kassidy Nissen is listed in the NPPES registry with a primary specialty of Doula (Nursing Service Related Providers).

Where is Kassidy Nissen located?

Kassidy Nissen's practice location on file with NPPES is 23668 Scenic Dr., Crestline, CA 92325-0661.

What is Kassidy Nissen's phone number?

The practice phone number listed in the NPPES registry for Kassidy Nissen is (909) 227-1751.

Is Kassidy Nissen's NPI active?

Yes — Kassidy Nissen's NPI (1073460507) is active in the NPPES registry as of the last update on 2026-03-13.

IndividualActive

Kassidy Nissen

NPI 1073460507 · Doula · Crestline, CA

Kassidy Nissen is a Doula provider in Crestline, CA (NPI 1073460507).

Provider details

NPI number: 1073460507
Entity type: Individual
Primary specialty: DoulaNursing Service Related Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

DoulaPrimary374J00000X
Nursing Service Related Providers

Profile Score

Basic profile(46/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

23668 Scenic Dr.

Crestline, CA 92325-0661

Phone: (909) 227-1751

Street-level locationGet directions

More CA providers

Mailing address

Po Box 661