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

Laura Mather, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1871065896

Laura Mather, PHYSICIANASSISTANT is a Physician Assistant in Phoenix, Arizona. Qualified in 2018, 8 years ago. Practices with Richard Lee Averitte Jr PLLC, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2019
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Practice location Address checks out

9520 W Palm Ln Ste 115
Phoenix, AZ 85037-4403
Phone: (480) 556-0446
Fax: (480) 556-0447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1450 S Dobson Rd Ste A200, Mesa, AZ 85202-4742 — (480) 629-5167

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7260 (AZ)

Record details

NPI number1871065896
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 2, 2019
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address1450 S Dobson Rd Ste A200, Mesa, AZ 85202-4742

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Richard Lee Averitte Jr Pllc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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