Active NPI
Emily Risk, RN
- Registered Nurse
- San Bruno, CA
National Provider Identifier
1750169751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 633326
- Practice address
- 3300 College Dr BLDG 19
San Bruno, CA 94066-1698 - Phone
- (650) 738-4270
- NPI assigned
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| College Health Registered Nurse | 163WC1400X | 633326 | CA | |
| Registered Nurse | 163W00000X | 633326 | CA | Primary |
Addresses
Primary practice location
3300 College Dr BLDG 19
San Bruno, CA 94066-1698
Mailing address
3300 College Dr
San Bruno, CA 94066-1698
Phone (650) 738-4270
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 633326 | CA | MD | College Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1750169751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 COLLEGE DR",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940661698",
"telephone_number": "650-738-4270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 COLLEGE DR BLDG 19",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940661698",
"telephone_number": "650-738-4270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISK",
"first_name": "EMILY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, College Health",
"state": "CA",
"license": "633326",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "633326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.