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

Kathryn Fallavollita, PA

Individual provider Physician Assistant · NPI 1275918286

Kathryn Fallavollita, PA is a Physician Assistant in Riverside, Rhode Island. Works from 2 locations. Licensed in Connecticut, Massachusetts and Rhode Island.

Licensed in
CT, MA, RI
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

375 Wampanoag Trl
Riverside, RI 02915-2232
Phone: (401) 649-4070
Fax: (401) 649-4071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 — (508) 996-3991

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01569 (RI)
Physician Assistant Taxonomy 363A00000X · Licence 3383 (CT)
Physician Assistant Taxonomy 363A00000X · Licence PA5430 (MA)

Record details

NPI number1275918286
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 21, 2015
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients185
Services billed 368 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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