Kaylee J Mattiello, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01217 Issued in RI

Practice address

73 Highland Ave Unit C
East Providence, RI 02914-1244

Phone

(401) 414-4545

Fax

(401) 489-7975

NPI assigned

Mar 13, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kaylee J Taillon Former name

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kjmattiello@direct.carene.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affinity Physicians LLC.

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  • NPI 1184944662
  Medicare reassignment
• Emergency Care Services of New England PC

  • Emergency Medicine Physician
  • North Providence, RI
  • NPI 1639537335
  Medicare reassignment
• Pulmonary and Sleep Medicine Associates Inc

  • Internal Medicine Physician
  • Dartmouth, MA
  • NPI 1457814469

  RI

  Medicare reassignment
• Affinity Physicians LLC

  • Anesthesiology Physician
  • Providence, RI
  • NPI 1053038471
  NPD
• Southcoast Physicians Group, Inc.

  • Family Medicine Physician
  • Fairhaven, MA
  • NPI 1336137629
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1447886171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 HIGHLAND AVE UNIT C",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141244",
            "telephone_number": "401-414-4545",
            "fax_number": "401-489-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 HIGHLAND AVE UNIT C",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141244",
            "telephone_number": "401-414-4545",
            "fax_number": "401-489-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIELLO",
        "first_name": "KAYLEE",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "TAILLON",
            "middle_name": "J",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Massage Balance Massage Therapy, LLC
• Hannah Elizabeth Masse, RD LDN
• Christine Massella, RD, LDN
• Massif-Gold International LLC
• Amanda Lauren Matos
• Steven N Mauricio, P.T.
• Despoina Clair Mavrommati, MD
• Maxi Drug South LP
• John F Maynard, M.D.
• William W Mayo-Smith, MD

• Physician Assistant in East Providence, RI
• Providers in East Providence, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.