SUSANNAH WALLACE NP
NPI 1710645866
Nurse Practitioner - Women's Health in San Francisco, CA

Active since December 06, 2021
1500 MISSION ST, SAN FRANCISCO, CA 94103(646) 650-5337(646) 871-6820 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2025, Dec 6, 2021 (2 updates tracked since 2021).

About Susannah Wallace Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSANNAH WALLACE NP (NPI 1710645866) is an individual women's health provider in San Francisco, California, licensed in California (95029800) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1710645866
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameSUSANNAH WALLACECredential: NP
Location Address1500 MISSION STSan Francisco, CA 94103-2513
Mailing Address1449 Fairbanks St SwAtlanta, GA 30310-4349
Fax(646) 871-6820
Sole ProprietorNo
Enumeration DateDecember 6, 2021
Last NPPES UpdateMarch 27, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
NPI 1710645866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in CA · 95029800
1500 MISSION ST, San Francisco, CA 94103

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1500 MISSION ST
SAN FRANCISCO, CA 94103
Internal Medicine
1500 MISSION ST
SAN FRANCISCO, CA 94103
Family Medicine
1500 MISSION ST
SAN FRANCISCO, CA 94103
Internal Medicine
1500 MISSION ST
SAN FRANCISCO, CA 94103
Counselor
1500 MISSION ST
SAN FRANCISCO, CA 94103
Acupuncturist
1500 MISSION ST
SAN FRANCISCO, CA 94103
Marriage & Family Therapist
1500 MISSION ST
SAN FRANCISCO, CA 94103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susannah Wallace's NPI number?

The NPI number for Susannah Wallace is 1710645866. It was assigned to this individual provider in the NPPES registry on December 6, 2021.

Where is Susannah Wallace located?

Susannah Wallace practices at 1500 Mission St, San Francisco, CA 94103. The listed phone number is (646) 650-5337.

What is Susannah Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Susannah Wallace was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.