Individual provider Active NPI

Rajean Rachel Moseley-Larue, PA-C

  • Medical Physician Assistant
  • Weatherford, TX
National Provider Identifier
1689602179
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01480 Issued in TX
Practice address
6503 Granbury Hwy
Weatherford, TX 76087-6003
Phone
(817) 917-0631
Fax
(817) 259-1259
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA01480 TX Primary

Addresses

Primary practice location

6503 Granbury Hwy
Weatherford, TX 76087-6003

Mailing address

6497 Granbury Hwy
Weatherford, TX 76087-5702
Phone (817) 917-0631

Other practice location 1

6497 Granbury Hwy
Weatherford, TX 76087-5702
Phone (817) 917-0631

Other names 1

  • Ms. Rajean Rachel Moseley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron C Eubanks MD PA PastSince Sep 24, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dmcrlarue@yourcarecommunity.org
  • Direct secure messaging: rmoseley@direct.uspi.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1689602179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6497 GRANBURY HWY",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760875702",
            "telephone_number": "817-917-0631",
            "fax_number": "817-599-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 GRANBURY HWY",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760876003",
            "telephone_number": "817-917-0631",
            "fax_number": "817-259-1259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6497 Granbury Hwy",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760875702",
            "country_code": "US",
            "telephone_number": "817-917-0631",
            "fax_number": "817-259-1259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSELEY-LARUE",
        "first_name": "RAJEAN",
        "middle_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJEAN",
            "last_name": "MOSELEY",
            "middle_name": "RACHEL",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.