Physician Assistant
Mrs. MICHELLE TAUTKUS P.A.-C
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 Plan acceptance stays unpublished until the practice reports it.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 1053319038 · enumerated 2005-07-13 · record updated 2023-02-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 475 KILVERT STREET, SUITE 310, WARWICK, RI, 02886 (781) 472-8650 Google Maps Apple Maps OpenStreetMap
- Mailing address 475 KILVERT STREET, SUITE 310, WARWICK, RI, 02886 (781) 472-8650 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 1856 MA
- Physician Assistant, Medical 363AM0700X · License PA00464 RI
- Physician Assistant 363A00000X · Primary · License PA1856 MA
In this directory
Locations and evidence
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Practice location
WARWICK, RI, 02886
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.