Shannon Nasser, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

15245 Issued in CA

Practice address

452 Grand St
Redwood City, CA 94062-2062

Phone

(209) 406-7458

NPI assigned

Nov 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon White Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Occupational Therapy Training Program San Francisco

  • Early Intervention Provider Agency
  • San Francisco, CA
  • NPI 1497209217
  NPD (past)
• Special Service for Groups, Inc.

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1831642115
  NPD (past)

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1245635267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 DE SOTO AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940105634",
            "telephone_number": "209-406-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 GRAND ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940622062",
            "telephone_number": "209-406-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSER",
        "first_name": "SHANNON",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "15245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "WHITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Napeek, DPT
• Celina Narvaez, PSY.D.
• Chelsea Castro Nascimento
• Norma Liseth Naser
• Gina Nasrah, PT
• Nasta Medical Corporation
• Aarti Manohar Nasta, MD
• Jay Kiran Nathan, MD
• National Allergy Center, Inc.
• Daisy Nava Trigueros

• Pediatric Occupational Therapist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.