{"npi":"1396123253","type":"NPI-1","status":"active","name":{"display":"Rebecca Leaders APRN","other":[{"code":"1","type":"Formerly known as","value":"MATHESON, REBECCA A"}],"first":"REBECCA","last":"LEADERS","middle":"A","credential":"APRN"},"specialty":{"primary_taxonomy":"363LW0102X","primary_taxonomy_description":"Nurse Practitioner, Women's Health","slug":"nurse-practitioner-womens-health","schema_org_specialty":"Gynecologic","all":[{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"IA","license":"F111943"},{"code":"363LW0102X","description":"Nurse Practitioner, Women's Health","primary":true,"state":"IA","license":"F111943"}]},"addresses":[{"purpose":"LOCATION","street_1":"201 RIDGE ST STE 312","city":"COUNCIL BLUFFS","state":"IA","postal_code":"515034643","country_code":"US","phone":"7123967880","fax":"7123967885"},{"purpose":"MAILING","street_1":"PO BOX 3755","city":"OMAHA","state":"NE","postal_code":"681030755","country_code":"US","phone":"4023542100","fax":"4023542155"}],"license":{"state":"IA","number":"F111943"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1396123253","state":"IA","issuer":null},{"type_code":"05","label":"Medicaid","value":"10026480117","state":"NE","issuer":null},{"type_code":"05","label":"Medicaid","value":"10026211300","state":"NE","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20151007001660","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"NE","pac_id":"8527376748"},{"enrlmt_id":"I20151007001997","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"IA","pac_id":"8527376748"}]},"enumeration_date":"2015-05-12","last_updated":"2019-07-03","_meta":{"source":"NPPES","snapshot_date":"2019-07-03","doc_url":"https://findmynpi.com/api"}}