Katherine D Mouser, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0001-04204 Issued in NC

Practice address

1774 Metromedical Dr
Fayetteville, NC 28304-3861

Phone

(910) 568-3903

Fax

(910) 568-3908

NPI assigned

Aug 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Cumberland County Hospital System Inc

  dba Cape Fear Valley Professional Radiology Group

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743
  NPD (past)
• Fayetteville Plastic Surgery Specialists, PA

  • Plastic Surgery Physician
  • Fayetteville, NC
  • NPI 1093808388
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1861484107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 METROMEDICAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043861",
            "telephone_number": "910-568-3903",
            "fax_number": "910-568-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 METROMEDICAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043861",
            "telephone_number": "910-568-3903",
            "fax_number": "910-568-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSER",
        "first_name": "KATHERINE",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0001-04204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Motion Rooted Foundation
• Bernice H Motley, LCAS-A
• Laura T Mount, LCSW
• Selina Dale Mounts Quinn, LMBT
• Jessica Paige Mouser, DPT
• Jessica Mouzon
• Move With Me Physical Therapy, LLC
• Moving Forward Individual and Family Therapy, PLLC
• Krystle Ann Moxley, LCMHC
• Megan Christine Moyo, RN, IBCLC

• Physician Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.