SUSAN M. ST PIERRE DO – NPI #1720076458
Preventive Medicine

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

SUSAN ST PIERRE is a physician located in NOVATO, CA. NPPES has assigned the NPI number 1720076458 to SUSAN ST PIERRE on October 06, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name SUSAN MARIE SHEA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083A0300X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 2 years ago on May 23, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSAN ST PIERRE below.

NPI Profile for
SUSAN M. ST PIERRE

NPI Number
1720076458
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN M. ST PIERRE
Other Name: SUSAN MARIE SHEA
Credentials
DO
Primary location
1615 HILL RD STE 14
NOVATO, CA 94947
Phone: (415) 895-1441 Fax: (415) 895-1288
1 Other location(s):
655 Redwood Highway
Suite 246
Mill Valley, CA 94941
Phone: (415) 388-2360
Fax: (415) 968-6620
Mailing address
4 SCAMMON ST STE 19-200
SACO, ME 04072-5121
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
May 23, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SUSAN ST PIERRE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidAZ796386
medicaidCO48178845
medicaidME243530099
medicaidNM34330534
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083A0300X
- Preventive Medicine / Addiction Medicine (Primary)
ME 1409
207Q00000X
- Family Medicine
CA 20A14943

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.