Active NPI
Alexis Green
- Peer Specialist
- Redwood City, CA
National Provider Identifier
1679458921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-SEOKLB
- Practice address
- 200 Edmonds Rd
Redwood City, CA 94062 - Phone
- (650) 930-7491
- NPI assigned
- Aug 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-SEOKLB | CA | Primary |
Addresses
Primary practice location
200 Edmonds Rd
Redwood City, CA 94062
Mailing address
34077 Paseo Padre Pkwy Apt 148
Fremont, CA 94555-2375
Phone (510) 926-9771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-SEOKLB | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1679458921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34077 PASEO PADRE PKWY APT 148",
"city": "FREMONT",
"state": "CA",
"postal_code": "945552375",
"telephone_number": "510-926-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 EDMONDS RD",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "94062",
"telephone_number": "650-930-7491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ALEXIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-06",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-SEOKLB",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.