Emily Green, RN, SN, PHD

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

742713 Issued in CA

Practice address

201 N Douglas St
El Segundo, CA 90245-4637

Phone

(310) 970-4650

NPI assigned

Apr 2, 2025

Last updated

Apr 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Da Vinci Connect

  • Local Education Agency (LEA)
  • El Segundo, CA
  • NPI 1811878903
  NPD Authorized official
• Da Vinci Rise High

  • Local Education Agency (LEA)
  • Hawthorne, CA
  • NPI 1356132146
  NPD Authorized official
• Da Vinci Design

  • Local Education Agency (LEA)
  • El Segundo, CA
  • NPI 1811545635
  NPD

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1679377329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N DOUGLAS ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454637",
            "telephone_number": "310-970-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N DOUGLAS ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454637",
            "telephone_number": "310-970-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "RN, SN, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "742713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Gray
• Great Lakes Imaging S C
• Greater Good Health PC Inc
• Greater Good Health PC, Inc.
• Deshawn Green
• Madeline Greenbaum
• Jalen Greene
• Kelsey Lyons Greene
• Starr Greenidge
• Greenline Non-Emergency Medical Transportation, LLC (Greenline Non-Emergency Medical, LLC Transportatio)

• Registered Nurse in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.