Individual provider Active NPI

Susan G Schor, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Redwood City, CA
National Provider Identifier
1912106832
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
NP6311 Issued in CA
Practice address
4200 Farm Hill Blvd. BLDG 5-303
Canada College Health Center
Redwood City, CA 94061-1099
Phone
(650) 306-3129
Fax
(650) 306-3185
NPI assigned
Jul 11, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X NP6311 CA Primary

Addresses

Primary practice location

4200 Farm Hill Blvd. BLDG 5-303
Canada College Health Center
Redwood City, CA 94061-1099

Mailing address

4200 Farm Hill Blvd. BLDG 5-303
Canada College Health Center
Redwood City, CA 94061-1099
Phone (650) 306-3129

Other names 1

  • Susan Schor Sheppard Former name

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP6311CAMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912106832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 FARM HILL BLVD. BLDG 5-303",
            "address_2": "CANADA COLLEGE HEALTH CENTER",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940611099",
            "telephone_number": "650-306-3129",
            "fax_number": "650-306-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 FARM HILL BLVD. BLDG 5-303",
            "address_2": "CANADA COLLEGE HEALTH CENTER",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940611099",
            "telephone_number": "650-306-3129",
            "fax_number": "650-306-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOR",
        "first_name": "SUSAN",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "NP6311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SHEPPARD",
            "middle_name": "SCHOR",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.