Kathryn Fallavollita, PA
Physician Assistant in Riverside, Rhode Island
1275918286- Practice location
- 375 Wampanoag Trl, Riverside, RI 02915-2232
- Phone
- 401-649-4070
- Fax
- 401-649-4071
- Last updated
- July 10, 2023
Kathryn Fallavollita is a Physician Assistant based in Riverside, RI. Kathryn Fallavollita practices in Riverside, RI and has the professional credentials of PA. The NPI Number for Kathryn Fallavollita is 1275918286 and holds a License No. 3383 (CT). The current practice location address for Kathryn Fallavollita is 375 Wampanoag Trl, Riverside, RI 02915-2232 and can be reached out via phone at 401-649-4070 and via fax at 401-649-4071.
Provider Profile Details
- NPI Number
- 1275918286
- Provider Name
- Kathryn Fallavollita
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 375 Wampanoag Trl, Riverside, RI 02915-2232
- Phone Number
- 401-649-4070
- Fax Number
- 401-649-4071
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 21, 2015
- Last Update Date
- July 10, 2023
- Certification Date
- July 10, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 375 Wampanoag Trl
Riverside, RI 02915-2232 - City
- Riverside
- State
- Rhode Island
- Zip
- 02915-2232
- Phone Number
- 401-649-4070
- Fax Number
- 401-649-4071
Provider Business Mailing Address Details
- Address
- Dept 3010, Po Box 986524
Boston, MA 02298-6524 - City
- Boston
- State
- MA
- Zip
- 02298-6524
- Phone Number
- 401-443-4992
- Fax Number
- 401-537-7241
License Information
- License Number (1)
- 3383
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA5430
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- PA01569
- License State (3)
- RI
- Taxonomy (3)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Riverside, RI
View all Physician Assistants in Riverside →- Isabella Malinowski, PAPhysician Assistant · NPI 1992229538
- Mr. Matthew J Smith, LICSWSocial Worker, Clinical · NPI 1588773287
- Brittany K Fevrier, NPNurse Practitioner, Family · NPI 1598919219
- Sumera Bukhari, MDInternal Medicine · NPI 1467813279
- Bryce Perler, MDInternal Medicine, Gastroenterology · NPI 1538698253
- Douglas G Shemin, MDInternal Medicine, Nephrology · NPI 1710934724
Frequently Asked Questions
What is the NPI number of Kathryn Fallavollita, PA?
The NPI number of Kathryn Fallavollita, PA is 1275918286. It was assigned on July 21, 2015 and is currently active in the NPPES registry.
What is the specialty of Kathryn Fallavollita, PA?
Kathryn Fallavollita, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 3383.
Where does Kathryn Fallavollita, PA practice?
The practice location is 375 Wampanoag Trl, Riverside, RI 02915-2232. The office can be reached at 401-649-4070 (phone) or 401-649-4071 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275918286 directly on the NPPES registry website.