Individual provider Active NPI

Susan Scott Zoellner, RNFA

  • Medical-Surgical Clinical Nurse Specialist
  • Los Gatos, CA
National Provider Identifier
1023146016
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X
License
367117 Issued in CA
Practice address
240 Harding Ave
Los Gatos, CA 95030-6307
Phone
(408) 358-1873
Fax
(408) 358-3623
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Clinical Nurse Specialist 364SM0705X 367117 CA Primary

Addresses

Primary practice location

240 Harding Ave
Los Gatos, CA 95030-6307

Mailing address

240 Harding Ave
Los Gatos, CA 95030-6307
Phone (408) 358-1873

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

State licenses

LicenseStateTypeSpecialty
367117CAMDMedical-Surgical Clinical Nurse Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023146016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HARDING AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306307",
            "telephone_number": "408-358-1873",
            "fax_number": "408-358-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HARDING AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306307",
            "telephone_number": "408-358-1873",
            "fax_number": "408-358-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOELLNER",
        "first_name": "SUSAN",
        "middle_name": "SCOTT",
        "name_prefix": "Ms.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "CA",
            "license": "367117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.