Active NPI
Western Mobile Medical
Doing business as Western Mobile Medicine
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1093217713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WESTERN MOBILE MEDICAL
- Doing business as
- Western Mobile Medicine
- Practice address
- 18441 N 25TH Ave Ste 103
Phoenix, AZ 85023-1256 - Phone
- (480) 246-3275
- Fax
- (480) 246-3274
- NPI assigned
- Mar 8, 2018
- Last updated
- Apr 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Laseter, NP
- Title
- Ceo
- Phone
- (480) 246-3275
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
18441 N 25TH Ave Ste 103
Phoenix, AZ 85023-1256
Mailing address
18441 N 25TH Ave Ste 103
Phoenix, AZ 85023-1256
Phone (480) 246-3275
Other names 1
- Western Mobile Medicine
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Women's Health Nurse Practitioner
- Phoenix, AZ
- NPI 1538190269
-
- Psychiatric/Mental Health Nurse Practitioner
- Tempe, AZ
- NPI 1801205471
Multi-Specialty
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1902864176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523232000000",
"number": "1093217713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18441 N 25TH AVE STE 103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231256",
"telephone_number": "480-246-3275",
"fax_number": "480-246-3274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18441 N 25TH AVE STE 103",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231256",
"telephone_number": "480-246-3275",
"fax_number": "480-246-3274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN MOBILE MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-08",
"last_updated": "2018-04-09",
"status": "A",
"authorized_official_last_name": "LASETER",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-246-3275",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Western Mobile Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.