Individual provider Active NPI

Dana B Mather, FNP-C

  • Family Nurse Practitioner
  • Litchfield Park, AZ
National Provider Identifier
1689794257
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2542 Issued in AZ
Practice address
13575 W. Indian School Road
Suite 200
Litchfield Park, AZ 85340
Phone
(623) 512-4310
Fax
(623) 512-4311
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP2542 AZ Primary

Addresses

Primary practice location

13575 W. Indian School Road
Suite 200
Litchfield Park, AZ 85340

Mailing address

13575 W. Indian School Road
Suite 200
Litchfield Park, AZ 85340
Phone (623) 512-4310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070718000542 AZ Practitioner - Nurse Practitioner 2668573809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Immunology Specialists LLCGroup PAC ID 7214260538, 4 clinicians

Practice addresses (Care Compare)

13575 W Indian School Rd
Suite 200
Litchfield Park, AZ 85340-4906
Phone (623) 512-4310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Immunology Specialists, LLC CurrentSince May 1, 2019 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

5940 W Union Hills Dr
Ste A120
Glendale, AZ 85308
Phone (623) 512-4310

17560 N 75th Ave
Ste D240
Glendale, AZ 85308

5658 Highway 260
Ste 24
Lakeside, AZ 85929
Phone (623) 512-4310

13575 W Indian School Rd
Ste 200
Litchfield Pk, AZ 85340
Phone (623) 512-4310

34406 N 27th Dr
Ste 172
Phoenix, AZ 85085
Phone (623) 512-4310

1155 W Rio Salado Pkwy
Ste B102
Tempe, AZ 85281
Phone (623) 512-4310

Organizations & group practices 2

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1689794257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 W. INDIAN SCHOOL ROAD",
            "address_2": "SUITE 200",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "85340",
            "telephone_number": "623-512-4310",
            "fax_number": "623-512-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 W. INDIAN SCHOOL ROAD",
            "address_2": "SUITE 200",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "85340",
            "telephone_number": "623-512-4310",
            "fax_number": "623-512-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHER",
        "first_name": "DANA",
        "middle_name": "B",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.