SUSAN MARIE ST PIERRE DO
NPI 1720076458
Preventive Medicine - Addiction Medicine in Novato, CA

Active since October 06, 2005
1615 HILL RD STE 14, NOVATO, CA 94947(415) 895-1441(415) 895-1288 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2019, Dec 19, 2017 (2 updates tracked since 2017).

About Susan Marie St Pierre Do NPPES

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

SUSAN MARIE ST PIERRE DO (NPI 1720076458) is an individual addiction medicine provider in Novato, California, licensed in Maine (1409) and active in the NPI registry since October 2005. She maintains a secondary practice location in Mill Valley.

NPPES Registry Identity

NPI1720076458
Entity TypeIndividualFemale
Primary Taxonomy2083A0300X
Provider Legal NameSUSAN MARIE ST PIERRECredential: DO
Location Address1615 HILL RD STE 14Novato, CA 94947
Mailing Address4 Scammon St Ste 19-200Saco, ME 04072-5121
Fax(415) 895-1288
Sole ProprietorNo
Enumeration DateOctober 6, 2005
Last NPPES UpdateMay 23, 20242 updates tracked since enumeration
NPPES CertifiedMay 23, 2024
NPI 1720076458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License Licensed in ME · 1409
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 20A14943 (CA), 1409 (ME)
1615 HILL RD STE 14, Novato, CA 94947

Other Names 1

Other Name (5)Susan Marie Shea Do

Secondary Practice Location 1

Location 1655 Redwood Highway, Suite 246Mill Valley, CA 94941 · Phone (415) 388-2360 · Fax (415) 968-6620

Other Identifiers 4

Medicaid34330534NM
Medicaid48178845CO
Medicaid796386AZ
Medicaid243530099ME

Other Providers at the Same Location NPPES

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

Family Medicine
1615 HILL RD STE 14
NOVATO, CA 94947

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 Susan St Pierre's NPI number?

The NPI number for Susan St Pierre is 1720076458. It was assigned to this individual provider in the NPPES registry on October 6, 2005. The provider is also known as Susan Marie Shea Do.

Where is Susan St Pierre located?

Susan St Pierre practices at 1615 Hill Rd Ste 14, Novato, CA 94947. The listed phone number is (415) 895-1441.

What is Susan St Pierre's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Susan St Pierre was last updated on May 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.