Active NPI
Willie James
- Registered Nurse
- Dorchester, MA
National Provider Identifier
1124349279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 113186
- Practice address
- 632 Blue Hill Ave
Dorchester, MA 02121-3213 - Phone
- (617) 825-3400
- Fax
- (617) 265-4193
- NPI assigned
- Jun 11, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 113186 | MA | Primary |
Addresses
Primary practice location
632 Blue Hill Ave
Dorchester, MA 02121-3213
Mailing address
632 Blue Hill Ave
Dorchester, MA 02121-3213
Phone (617) 825-3400
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 |
|---|---|---|---|
| 113186 | MA | MD | Registered Nurse |
Interoperability endpoints
- willie.maxine.james.1@8526.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1124349279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 BLUE HILL AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021213213",
"telephone_number": "617-825-3400",
"fax_number": "617-265-4193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 BLUE HILL AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021213213",
"telephone_number": "617-825-3400",
"fax_number": "617-265-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "WILLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-11",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "113186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.