Healthcare Provider Details

I. General information

NPI: 1992661557
Provider Name (Legal Business Name): DAWN JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 LAKE AVE N
WORCESTER MA
01655-0001
US

IV. Provider business mailing address

57 DIXFIELD ST
WORCESTER MA
01606-1094
US

V. Phone/Fax

Practice location:
  • Phone: 508-334-1000
  • Fax:
Mailing address:
  • Phone: 508-963-7755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN2277210
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: