Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kassidy Rose Nissen

Individual provider Doula · NPI 1073460507

Kassidy Rose Nissen is a Doula in Crestline, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

23668 Scenic Dr
Crestline, CA 92325-0661
Phone: (909) 227-1751
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Doula (primary) Taxonomy 374J00000X (CA)

Record details

NPI number1073460507
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 13, 2026
Last updated in NPPESMarch 13, 2026
Certification dateMarch 9, 2026