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

Taylor Fowler

Individual provider Physician Assistant · NPI 1689546004

Taylor Fowler is a Physician Assistant in Shreveport, Louisiana. Qualified in 2025, 1 year ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
1
Licensed in
LA
In the registry since
2025
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Practice location Address checks out

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone: (318) 681-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1453 E Bert Kouns Industrial Loop Ste 319, Shreveport, LA 71105-6800 — (318) 681-1968

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (LA)

Record details

NPI number1689546004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2025
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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