Individual provider Active NPI

Emily Ann Lea Green, NP

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1235920570
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
827461 Issued in NV
Practice address
2960 Sunridge Heights Pkwy Ste 100
Henderson, NV 89052-4463
Phone
(725) 291-5900
Fax
(725) 291-5901
NPI assigned
May 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 827461 NV Primary

Addresses

Primary practice location

2960 Sunridge Heights Pkwy Ste 100
Henderson, NV 89052-4463

Mailing address

1035 Plentywood PL
Henderson, NV 89002-9249
Phone (702) 271-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20260403000979 NV Practitioner - Nurse Practitioner 8022593359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Univ of Nevada, Las Vegas School of Dental Med, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1035 Plentywood PL
Henderson, NV 89002-9249

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
827461NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amal Kamil Obaid-Schmid, MD PLLC Past Accepting new patients
Amal Kamil Obaid-Schmid, MD PLLC Past Accepting new patients

Organizations & group practices 2

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": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1235920570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PLENTYWOOD PL",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890029249",
            "telephone_number": "702-271-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 SUNRIDGE HEIGHTS PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524463",
            "telephone_number": "725-291-5900",
            "fax_number": "725-291-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "EMILY ANN",
        "middle_name": "LEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "827461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.