Leo Rourke, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

901896 Issued in MS

Practice address

9075 Sandidge Center CV
Olive Branch, MS 38654-3514

Phone

(662) 893-8484

Fax

(662) 893-1103

NPI assigned

Oct 17, 2005

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Magnolia Counseling

  • Specialist
  • Batesville, MS
  • NPI 1891919668
  NPD (past)
• Memphis Psychiatric and Addiction Clinic, PC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Memphis, TN
  • NPI 1235187949
  NPD (past)
• Psycare LLC

  • Psychologist
  • Memphis, TN
  • NPI 1851870778
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1578552188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9075 SANDIDGE CENTER CV",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543514",
            "telephone_number": "662-893-8484",
            "fax_number": "662-893-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 SANDIDGE CENTER CV",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543514",
            "telephone_number": "662-893-8484",
            "fax_number": "662-893-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROURKE",
        "first_name": "LEO",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006732",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL MEDICARE NUMBER",
            "identifier": "3903211",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverdale Behavioral Health, PC
• Betty Robinson
• Joshua Caleb Rosario Negron
• Kelly B. Ross, LCSW
• Linda K Ross, LMT
• Tarah L Rudd, PT
• Michelle T Ruder, LPC
• Elizabeth Rudman, FNP
• Brayden Russell, LMSW
• Charles G Ryan Jr., M.D.

• Family Nurse Practitioner in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.