Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Taylor Kathryn Waters, PA-C

Individual provider Physician Assistant · NPI 1922989748

Taylor Kathryn Waters, PA-C is a Physician Assistant in Shreveport, Louisiana. Qualified in 2025, 1 year ago. Practices with Wkmc Cardiovascular Consultants, a 35-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2727 Hearne Ave Ste 301
Shreveport, LA 71103-3918
Phone: (318) 631-6400
Fax: (318) 631-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1922989748
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 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 Wkmc Cardiovascular Consultants — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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