Individual provider Active NPI

Kathryn C. Mosley, PA

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1902107451
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04732 Issued in TX
Practice address
12740 Hillcrest Rd Ste 725
Dallas, TX 75230-2038
Phone
(972) 566-8899
Fax
(972) 566-5775
NPI assigned
Nov 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04732 TX Primary

Addresses

Primary practice location

12740 Hillcrest Rd Ste 725
Dallas, TX 75230-2038

Mailing address

9717 Bellewood Dr
Dallas, TX 75238-2503
Phone (432) 684-0941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141117000728 TX Practitioner - Physician Assistant 1456573989 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04732TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. CurrentSince Oct 31, 2017 Accepting new patients
Questcare Medical Clinics PLLC CurrentSince Jan 1, 2017 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Oct 31, 2017 Accepting new patients

Locations

1571 SW Wilshire Blvd
Ste 500
Burleson, TX 76028
Phone (817) 295-1121

13737 Noel Rd
Ste 1400
Dallas, TX 75240
Phone (972) 663-8523

13737 Noel Rd
Ste 1200
Dallas, TX 75240
Phone (214) 712-2815

7777 Forest Ln
Ste C650
Dallas, TX 75230
Phone (972) 327-5524

3500 Gaston Ave
Dallas, TX 75246

8861 Davis Blvd
Ste 100
Keller, TX 76248
Phone (817) 431-5073

Interoperability endpoints

  • Direct secure messaging: kathryn.mosley@imatx.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/32456/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1289692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1902107451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9717 BELLEWOOD DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382503",
            "telephone_number": "432-684-0941",
            "fax_number": "432-570-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12740 HILLCREST RD STE 725",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302038",
            "telephone_number": "972-566-8899",
            "fax_number": "972-566-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "KATHRYN",
        "middle_name": "C.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-14",
        "last_updated": "2023-01-12",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.