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Doctor's Desk

Our Practice

“We are female medical providers and mothers who understand the challenges of parenting and breastfeeding firsthand.  We want to be on this amazing journey with our patients and families, form a deep connection with them, and guide them along the way.” 

Tailored Pediatric Medicine is a Direct Primary Care (DPC) pediatric specialty practice. 

 

DPC is a simplified model of primary care for your children, where you pay us directly for your child’s all-inclusive care.  We believe that by removing third-party payers (insurance companies,) you get more access to us, better medical care, and a stronger patient-provider relationship.  DPC provides patients and families with longer appointments, more convenient care, and better education to be empowered as parents and healthy growing young people. Our goal is to provide patient and family-centered care, that is unrushed, thoughtful, and personalized to your child.

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Kelly Parker-Mello, MD, FAAP

As a physician and working mother of two, Dr. Kelly Parker-Mello is an expert in pediatric medicine. Dr. Kelly values evidence-based medicine, which is grounded in scientific research and best practices. 

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“I do not believe that we have all the answers in medicine, nor that we as parents and members of society are making the best decisions all of the time. But I do believe that I do my utmost to make the best decisions with the information that I have in the moment, as physician, mother, and person.”

 

Dr. Kelly is a child health expert with a broad understanding of the present-day challenges to our children’s health and well-being.  She uses her vast knowledge of medicine to provide top-level care based on current recommendations and guidelines. Her curiosity for the sciences pushes her to look beyond the boundaries of her western medicine training.

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“It is vital to be open to many types of medical modalities and use my medical training and knowledge to help families navigate this often-confusing world of healthcare, parenting, and life.”

             

Dr. Kelly also has a unique approach to patient care and medicine.

Melissa Gagne, NP

In today’s complex healthcare environment, parents need knowledgeable and compassionate support when navigating their children’s care. At Tailored Pediatric Medicine, I am proud to provide the comprehensive and personalized care that every child and family deserves. As a nurse practitioner, I value a holistic approach that considers the whole patient—addressing not only medical needs but also overall well-being.

After working as a pediatric nurse from 2010-2015, I began my career as a nurse practitioner and have since worked at Boston Children’s Hospital, Mass General for Children, and, more recently, with MaineHealth in pediatric primary care. These experiences have strengthened my commitment to delivering high-quality, individualized care for each child and family I see daily. Outside of my professional role, I enjoy spending time with my husband, son, and our Vizsla. I also enjoy running, yoga, hiking, and exploring the outdoors throughout the Seacoast.

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Martha Masiello, Office Manager

Hi! I’m Martha and I am the Office Manager at Tailored Pediatric Medicine.  I have been in this role since the fall of 2022.  Before TPM, I was a stay-at-home mom, raising my three sons. 

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My educational background in Social Work and Occupational Therapy in addition to my life experiences have cultivated an abundance of empathy, compassion, and an overall interest in helping others. 

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I love being a part of the TPM team and supporting Dr. Kelly in providing the best care to our patients and their families.

Outside of work, you’ll often find me spending time with my family and friends, playing tennis, or managing the building of a new house. I’m grateful to be part of such a great team here at TPM!

Lynne Muscato, RN

As a nurse and mother of four adults, I truly appreciate the TPM model of care. Practicing here allows the opportunity to get to know families while providing support and watching them grow. 

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I spent many years as a mom after leaving a career in engineering. Caring for my own children inspired me to pursue a degree in nursing. Now about fifteen years in, I feel my background in school nursing and urgent care has prepared me for my role here in pediatrics. 

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My other interests include running, biking, hiking, and travel. I also enjoy reading and am grateful for any time spent with my family. The team here at TPM is very devoted and I’m happy to be a part of it. 

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Alana Campbell, RN

I am so pleased to be part of the TPM team as an RN. Prior to coming to TPM, I worked for 12 years at Maine Medical Center as a Neonatal Intensive Care Unit nurse and member of the Pediatric Critical Care Transport Team. After settling with my family in the Seacoast I began working at Wentworth Douglass Hospital in the Post Anesthesia Care Unit, taking care of children and adults after surgical procedures. 

 

In addition to being a NICU nurse, I also experienced the NICU as a parent when my son was born early at 33 weeks. Experiencing the NICU as a mother further broadened my perspective as a nurse, learning first hand what a difference great care and compassion can make when it comes to your child. 

 

Outside of being a nurse, I enjoy spending time with my husband and son, skiing, traveling, camping, and enjoying any time spent on the water - I was a Maine Whitewater Guide for several years, guiding rafting trips in between my nursing shifts. 

 

Caring for children and their families has been a common thread throughout my career as a nurse, and I am honored to continue to do so at TPM. I look forward to getting to know you and your families. 

Maryelien Goodman, Behavioral Health Clinician

Hi! I’m Maryelien, and I love being a part of the Tailored Pediatric Medicine team as a behavioral health clinician. 

I have a background in mental health therapy for individuals of all ages, which has given me great insights such as the importance of integrating physical and mental health that I apply here at TPM. 

The most rewarding part of my role is empowering patients and their families to make positive and healthy changes that impact all aspects of their lives. Outside of work, you’ll often find me spending time with my 2 boys, walking my energetic rescue dog, and playing tennis. I’m grateful to be part of such a great team here at TPM!

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Emma Guagnini, Marketing Intern

Hi, I'm Emma! I am the Marketing Intern at Tailored Pediatric Medicine. 

I am currently pursuing my Master of Business Administration at the University of New Hampshire. I graduated in May with a degree in Business Administration, focusing on Marketing and Business Analytics. I have worked at TPM for two years and love it here! Marketing is my passion, and it has been so wonderful to learn more through working at TPM!

During my free time, I enjoy being with my family, friends, and my dog. I also love spending time outside, whether running, walking my dog, or golfing.

“I would best describe my style of medicine as, thoughtful. I do not mean “thoughtful” in the kind and caring way (although I do whole-heartedly value kindness and empathy), but thoughtful in the sense that I take the time to listen to my patients’ concerns, understand their perspective and think through their medical presentation. I do not want to leave any stone unturned, any question unanswered, or any doubt still present. I am proud of the care I provide because of my thoughtfulness and my desire to take care of the whole patient. Their physical body, mental health, and emotional well-being.”

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Dr. Kelly

(she, her, hers)

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