Richard Lee Averitte Jr PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

30247 Issued in AZ

Legal business name

RICHARD LEE AVERITTE JR PLLC

Practice address

20401 N 73Rd St
Suite 230
Scottsdale, AZ 85255-4153

Phone

(480) 556-0446

Fax

(480) 556-0447

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Marlie R Averitte

Title

Business Manager

Phone

(480) 556-0446

Specialties & licenses 1

Addresses

Other names 1

• Affiliated Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsey Rae Andrade, FNP-BC

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1447776505

  AZ

  Medicare reassignment Care Compare group NPD
• Jason Arthur Barr, DO

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1457312027

  AZ, Dermatology

  Medicare reassignment Care Compare group NPD
• Rebecca Joy Bergren, ARNP

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1194075853

  AZ

  Medicare reassignment Care Compare group NPD
• Lorin Cain, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1922824663

  AZ

  Medicare reassignment Care Compare group NPD
• Sarah Inda Estrada, M.D.

  • Dermatopathology Physician
  • Scottsdale, AZ
  • NPI 1548350218

  AZ, Dermatology

  Medicare reassignment Care Compare group NPD
• Karan Lal, DO

  • Pediatric Dermatology Physician
  • Scottsdale, AZ
  • NPI 1679928832

  AZ, Dermatology

  Medicare reassignment Care Compare group NPD
• Christine C Lin, MD

  • MOHS-Micrographic Surgery Physician
  • Scottsdale, AZ
  • NPI 1497703797

  AZ, Dermatology

  Medicare reassignment Care Compare group NPD
• Alexia Lombardi

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1497628291

  AZ

  Medicare reassignment Care Compare group NPD
• Christina R. Love, NP

  • Family Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1518686062

  AZ

  Medicare reassignment Care Compare group NPD
• Mitchell Ryan Manway, D.O.

  • MOHS-Micrographic Surgery Physician
  • Scottsdale, AZ
  • NPI 1083024921

  AZ, Dermatology

  Medicare reassignment Care Compare group NPD
• Dustin James Mullens

  • Dermatology Physician
  • Gilbert, AZ
  • NPI 1548652878

  AZ, Dermatology

  Medicare reassignment Care Compare group NPD
• Gabriella Giovanna Munguia

  • Physician Assistant
  • Mesa, AZ
  • NPI 1104667435

  AZ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1407804115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST",
            "address_2": "SUITE 230",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554153",
            "telephone_number": "480-556-0446",
            "fax_number": "480-556-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST",
            "address_2": "SUITE 230",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554153",
            "telephone_number": "480-556-0446",
            "fax_number": "480-556-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD LEE AVERITTE JR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "AVERITTE",
        "authorized_official_first_name": "MARLIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "480-556-0446"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "30247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliated Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Bernert, LLC
• Richard J Settles DO
• Richard J Settles, DO, PC
• Richard J. Brown, MD, PLLC
• Richard L Gomez MD PC
• Richard P Jacoby DPM, PC
• Richard P. Jacoby DPM PC
• Richard P. Jacoby, DPM, PC
• Richards and Kim Group Corporation
• Alexis Bree Richards, PA-C

• All providers in Scottsdale, AZ
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.