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

Kaitlyn Ann Favalora

Individual provider Audiologist · NPI 1093452302

Kaitlyn Ann Favalora is a Qualified Audiologist in Boston, Massachusetts. Qualified in 2022, 4 years ago. Accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
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Practice location Address checks out

133 Brookline Ave
Boston, MA 02215-3904
Phone: (617) 421-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X (MA)

Record details

NPI number1093452302
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2022
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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