Individual provider Active NPI

Kaitlyn M Parascandolo, APRN

  • Family Nurse Practitioner
  • Tiverton, RI
National Provider Identifier
1548144280
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN04726 Issued in RI
Practice address
711 Main Rd
Tiverton, RI 02878-1352
Phone
(401) 624-1400
NPI assigned
Aug 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN04726 RI Primary

Addresses

Primary practice location

711 Main Rd
Tiverton, RI 02878-1352

Mailing address

10 Davol SQ Ste 400
Providence, RI 02903-4752
Phone (401) 444-6779

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251022003046 RI Practitioner - Nurse Practitioner 4981192846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Medical Physicians IncGroup PAC ID 0345658316, 222 clinicians

Practice addresses (Care Compare)

711 Main Rd
Tiverton, RI 02878-1352
Phone (401) 624-1400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN04726RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Medical Physicians, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Coastal Medical Physicians, Inc. Family CurrentSince Aug 1, 2025 Accepting new patients
Blueprint Healthcare LLC CurrentSince Aug 24, 2025 Accepting new patients
Coastal Medical, Inc. Past Accepting new patients

Locations

451 Andover St
Ste 205
North Andover, MA 01845
Phone (978) 983-2434

900 Warren Ave
Ste 401
East Providence, RI 02914
Phone (401) 330-2480

180 Log Rd
Smithfield, RI 02917
Phone (401) 231-7016

711 Main Rd
Tiverton, RI 02878
Phone (401) 624-1400

4 Saint Joseph St
Woonsocket, RI 02895
Phone (401) 765-5844

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1548144280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DAVOL SQ STE 400",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034752",
            "telephone_number": "401-444-6779",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781352",
            "telephone_number": "401-624-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARASCANDOLO",
        "first_name": "KAITLYN",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN04726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiverton, RI

Sources for this page

Verify at the official NPI Registry.