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

MS. Taylor Randall Watrous

Individual provider Physician Assistant · NPI 1528473725

MS. Taylor Randall Watrous is a Physician Assistant in Norfolk, Virginia. Graduated from Eastern Virginia Medical School in 2014, 12 years ago. Practices with Coastal Dermatology PC, a 4-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
12
Trained at
Eastern Virginia Medical School
Licensed in
VA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

150 Kingsley Ln
Norfolk, VA 23505-4602
Phone: (757) 889-5112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110004643 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110004643 (VA)

Record details

NPI number1528473725
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2014
Last updated in NPPESJune 25, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice Coastal Dermatology P.C. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Norfolk