Michele M Green, RN,BSN,PHN,RNP, MSN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

14185 Issued in CA

Practice address

11705 Alameda St
Lynwood, CA 90262-4023

Phone

(323) 568-4550

NPI assigned

Sep 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1366961443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452231",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900458529",
            "telephone_number": "323-568-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 ALAMEDA ST",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624023",
            "telephone_number": "323-568-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "MICHELE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "RN,BSN,PHN,RNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "14185",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "14185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Karen Gracida
• Granada Post Acute LP (Granada Post Acute)
• Francisco Granados, SOCIAL WORK
• Kevin Gray Jr.
• Arrington Green
• Greenvalley Oral Care
• David Grier
• Ana Maria Grisales
• Ramon Arenas Guadiz, M.D.
• Jocelyn Elisa Gudino

• Women's Health Nurse Practitioner in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.