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

Kathryn M Waterman, RPA-C, MPAS

Individual provider Physician Assistant · NPI 1518244326

Kathryn M Waterman, RPA-C, MPAS is a Physician Assistant in St Petersburg, Florida. Qualified in 2011, 15 years ago. Practices with West Florida Trauma Network, LLC, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
15
Licensed in
FL, NY
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

603 7th St S Ste 500
St Petersburg, FL 33701-4734
Phone: (727) 893-6254
Fax: (727) 553-7158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2010 59th St W Ste 2200, Bradenton, FL 34209-4689 — (941) 794-5621

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9113210 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 015249 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA113210 (FL)

Record details

NPI number1518244326
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C , MPAS
Sole proprietorNo
NPI enumeratedNovember 8, 2011
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice West Florida Trauma Network, Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in St Petersburg