Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Dawn Melissa Drake, RNP

Individual provider Nurse Practitioner · NPI 1083905673

Mrs. Dawn Melissa Drake, RNP is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2010, 16 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
16
Licensed in
RI
In the registry since
2011
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Practice location Address checks out

164 Summit Ave Gilstein Suite/baxt Bldg
Providence, RI 02906-2853
Phone: (401) 793-3922
Fax: (401) 435-7069
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN00252 (RI)

Record details

NPI number1083905673
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNP
Sole proprietorNo
NPI enumeratedApril 29, 2011
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence