Individual provider Active NPI

Susan Word, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • South San Franciso, CA
National Provider Identifier
1366897159
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95023848 Issued in CA
Practice address
611 Gateway Blvd Ste 120
South San Franciso, CA 94080
Phone
(415) 990-0913
Fax
(650) 715-0252
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95023848 CA Primary
Registered Nurse 163W00000X 384589 CA

Addresses

Primary practice location

611 Gateway Blvd Ste 120
South San Franciso, CA 94080

Mailing address

1741 Olive Branch CT
Fernley, NV 89408-9716
Phone (415) 990-0913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019002413 CA Practitioner - Nurse Practitioner 6204291016 Reassigns benefits to 1 organization
Practice locations: Burlingame, CA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
TK Svensson MD and S Morrow MD IncGroup PAC ID 8325009822, 2 clinicians

Practice addresses (Care Compare)

25 Edwards CT
Suite 105
Burlingame, CA 94010-2421
Phone (650) 342-1966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
384589CAMDRegistered Nurse
95023848CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TK Svensson MD & S Morrow MD Inc CurrentSince Oct 8, 2023 Accepting new patients

Locations

25 Edwards Ct
Ste 105
Burlingame, CA 94010
Phone (650) 342-1966

4104 24th St
San Francisco, CA 94114
Phone (415) 775-7766

Interoperability endpoints

  • Direct secure messaging: sword162057@direct.renown.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1366897159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 OLIVE BRANCH CT",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089716",
            "telephone_number": "415-990-0913",
            "fax_number": "650-715-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 GATEWAY BLVD STE 120",
            "city": "SOUTH SAN FRANCISO",
            "state": "CA",
            "postal_code": "94080",
            "telephone_number": "415-990-0913",
            "fax_number": "650-715-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORD",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023848",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "384589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.