Active NPI
Rita Joan Ledbetter, CNM
- Advanced Practice Midwife
- Moline, IL
National Provider Identifier
1134193360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 209001758
- Practice address
- 600 John Deere Rd
Moline, IL 61265-6869 - Phone
- (309) 779-4272
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 0041223314 | IL | |
| Advanced Practice Midwife | 367A00000X | 209001758 | IL | Primary |
Addresses
Primary practice location
600 John Deere Rd
Moline, IL 61265-6869
Mailing address
600 John Deere Rd Ste 200
Moline, IL 61265-6812
Phone (309) 779-4272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0041223314 | IL | MD | Advanced Practice Midwife |
| 209001758 | IL | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496102400000",
"number": "1134193360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 JOHN DEERE RD STE 200",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656812",
"telephone_number": "309-779-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 JOHN DEERE RD",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656869",
"telephone_number": "309-779-4272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDBETTER",
"first_name": "RITA",
"middle_name": "JOAN",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2017-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "0041223314",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IL",
"license": "209001758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.