Physician Assistant
KATHRYN FALLAVOLLITA PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1275918286 · enumerated 2015-07-21 · record updated 2023-07-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address DEPT 3010, PO BOX 986524, BOSTON, MA, 02298-6524 (401) 443-4992 Fax (401) 537-7241 Google Maps Apple Maps OpenStreetMap
- Practice location 375 WAMPANOAG TRL, RIVERSIDE, RI, 02915-2232 (401) 649-4070 Fax (401) 649-4071 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 3383 CT
- Physician Assistant 363A00000X · License PA5430 MA
- Physician Assistant 363A00000X · Primary · License PA01569 RI
In this directory
Locations and evidence
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Practice location
RIVERSIDE, RI, 029152232
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.