Rosa Maribel Leland, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209010841 Issued in IL

Practice address

4101 John Deere Rd
Moline, IL 61265-6790

Phone

(309) 757-1905

Fax

(309) 757-1906

NPI assigned

Oct 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Rosa Maribel Mock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1457789687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 JOHN DEERE RD",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656790",
            "telephone_number": "309-757-1905",
            "fax_number": "309-757-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 JOHN DEERE RD",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656790",
            "telephone_number": "309-757-1905",
            "fax_number": "309-757-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELAND",
        "first_name": "ROSA",
        "middle_name": "MARIBEL",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A105946",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LICENSE",
            "identifier": "209010841",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "A105946",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSA",
            "last_name": "MOCK",
            "middle_name": "MARIBEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven J Layer, P.T.
• Lexis Leach, APRN
• Michael R. Leasenby, D.C.
• Rita Joan Ledbetter, CNM
• Lisa Lynn Leibold, RPSGT
• David Edward Lemon, D.D.S.
• John Henry Leno, M.D. FACOG
• Rick Theuninck Leppo, D.M.D.
• Cameron Lerminez, PSY.D
• Tonya R Lewis, CRNA

• Family Nurse Practitioner in Moline, IL
• Providers in Moline, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.