Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALICE A FANNIN PA
NPI 1649240896
Physician Assistant in Worcester, MA

Active since January 23, 2006
630 PLANTATION ST, WORCESTER, MA 01605(508) 595-2000(508) 853-7149 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alice A Fannin Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICE A FANNIN PA (NPI 1649240896) is an individual physician assistant in Worcester, Massachusetts, licensed in Massachusetts (1422) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1649240896
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALICE A FANNINCredential: PA
Location Address630 PLANTATION STWorcester, MA 01605
Mailing Address630 Plantation St, Wot 12th Floor Attn. Physician ServicesWorcester, MA 01605 · (508) 368-5529 · Fax (508) 368-5530
Fax(508) 853-7149
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1649240896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · 1422
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
630 PLANTATION ST, Worcester, MA 01605

Other Identifiers 5

Other970024208Railroad Medicare
Other042472266Three Rivers
Other8301088Evercare
Other53324Fallon Community Hlth Pln
OtherAP1638Medicare B

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nutritionist
630 PLANTATION ST
WORCESTER, MA 01605
Dietitian, Registered
630 PLANTATION ST
WORCESTER, MA 01605
Internal Medicine
630 PLANTATION ST
WORCESTER, MA 01605
Social Worker
630 PLANTATION ST
WORCESTER, MA 01605
Nurse Practitioner (Adult Health)
630 PLANTATION ST
WORCESTER, MA 01605
Nurse Practitioner
630 PLANTATION ST
WORCESTER, MA 01605
Nurse Practitioner (Pediatrics)
630 PLANTATION ST, WOT 12TH FL
WORCESTER, MA 01605
Pediatrics
630 PLANTATION ST
WORCESTER, MA 01605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Fannin's NPI number?

The NPI number for Alice Fannin is 1649240896. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Alice Fannin located?

Alice Fannin practices at 630 Plantation St, Worcester, MA 01605. The listed phone number is (508) 595-2000.

What is Alice Fannin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Alice Fannin was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.