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

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.

See every abbreviation used in this directory →

Practice location Address checks out

375 Wampanoag Trl
Riverside, RI 02915-2232
Phone: (401) 649-4070
Fax: (401) 649-4071
Show map & directions

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

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