REBECCA A LEADERS (NPI# 1396123253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396123253 |
| Entity Type | Individual |
| Full Name | REBECCA A LEADERS |
| Other Name | REBECCA A MATHESON |
| Credential | APRN |
| Practice Address |
201 Ridge St Ste 312 Council Bluffs IA 51503-4643 |
| Mailing Address |
Po Box 3755 Omaha NE 68103-0755 |
| Practice Telephone | 7123967880 |
| Practice Fax Number | 7123967885 |
| Mailing Telephone | 4023542100 |
| Mailing Fax Number | 4023542155 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2019-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | F111943 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F111943 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026480117 | 05 | |
| IA | 1396123253 | 05 | |
| NE | 10026211300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013329937 | Rebecca Leaders | Marriage & Family Therapist | 624 13th St S, Virginia, MN 55792-3149 | 2014-05-27 |
| Street Address |
201 RIDGE ST STE 312 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-4643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245205202 | Erik N Schulte | Obstetrics & Gynecology | 201 Ridge St Ste 312, Council Bluffs, IA 51503-4643 | 2006-02-22 |
| 1437523479 | Desiree M Hericks | Advanced Practice Midwife | 201 Ridge St Ste 312, Council Bluffs, IA 51503-4643 | 2015-11-13 |
| 1174992846 | Stephanie R Revord | Nurse Practitioner | 201 Ridge St Ste 312, Council Bluffs, IA 51503-4643 | 2015-09-23 |
| 1942696901 | Tana Friesth Perry | Obstetrics & Gynecology | 201 Ridge St Ste 312, Council Bluffs, IA 51503-4643 | 2015-04-07 |
| 1366770489 | Melissa Ruth Hynek | Nurse Practitioner | 201 Ridge St Ste 312, Council Bluffs, IA 51503-4643 | 2009-12-01 |
| 1750492393 | Norman E Ferrer | Obstetrics & Gynecology | 201 Ridge St Ste 312, Council Bluffs, IA 51503-4643 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770695074 | Elizabeth Anne Phillippi | Nurse Practitioner | 201 Ridge St Ste 307, Council Bluffs, IA 51503-4643 | 2006-08-31 |
| 1639565328 | Debra A Hoag | Nurse Practitioner | 201 Ridge St Ste 307, Council Bluffs, IA 51503-4643 | 2015-04-09 |
| 1063542884 | Shannon Ranae Stafford | Nurse Practitioner | 1604 2nd Ave, Council Bluffs, IA 51501-3801 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023399011 | Tassie Ann Carter | Nurse Practitioner | 1766 Central Ave, Planned Parenthood of The Heartland Dubuque Clinic, Dubuque, IA 52001-3607 | 2011-09-02 |
| 1225317183 | Planned Parenthood of The Heartland | Nurse Practitioner | 2201 Ave H, Planned Parenthood of The Heartland Fort Madison Clinic, Fort Madison, IA 52627-4048 | 2011-08-10 |
| 1336428291 | Planned Parenthood of The Heartland | Nurse Practitioner | 114 E Monroe #111, Planned Parenthood of The Heartland Mount Pleasant Clin, Mount Pleasant, IA 52641-1970 | 2011-08-10 |
| 1992083190 | Planned Parenthood of The Heartland | Nurse Practitioner | 311 N 4th Ave, Planned Parenthood of The Heartland Washington Clinic, Washington, IA 53253-2247 | 2011-07-22 |
| 1700020203 | Lindsey J Keonin | Nurse Practitioner | 2304 University Avenue, Des Moines, IA 50311-4316 | 2009-04-28 |
| 1497914758 | Jacqueline Kay Greenfield | Nurse Practitioner | 603 Indian Hills Dr Bldg 15, Ottumwa, IA 52501-1468 | 2008-06-03 |
| 1710003454 | Julie A Thompson | Nurse Practitioner | 4225 Red Oak Dr, Cedar Rapids, IA 52403-3947 | 2007-03-22 |
| 1730219742 | Planned Parenthood of The Heartlan | Nurse Practitioner | 3425 1st Ave Se Suite 100, Planned Parenthood of The Heartland Cedar Rapids Clinic, Cedar Rapids, IA 52402-6005 | 2007-03-07 |
| 1790841161 | Nina Rae Cullinan | Nurse Practitioner | 727 N West St, Carroll, IA 51401-2348 | 2006-12-29 |
| 1902974538 | Lylia Jean Poland | Nurse Practitioner | 515 W Wall St, Seymour, IA 52590-1333 | 2006-12-01 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on REBECCA A LEADERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.