Individual provider Active NPI

Rebekah Sanders, APRN,FNP

  • Nurse Practitioner
  • Owasso, OK
National Provider Identifier
1154837763
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
80142 Issued in OK
Practice address
9003 N Garnett Rd
Owasso, OK 74055-4495
Phone
(918) 272-2882
Fax
(918) 928-4225
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 80142 OK Primary

Addresses

Primary practice location

9003 N Garnett Rd
Owasso, OK 74055-4495

Mailing address

2101 N 14TH St Ste 114
Ponca City, OK 74601-1807

Other identifiers 1

IdentifierTypeStateIssuer
80142OtherOKADVANCED NURSING LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180221000228 OK Practitioner - Nurse Practitioner 8921369653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Demand Urgent Care, LLCGroup PAC ID 9234565110, 6 clinicians

Practice addresses (Care Compare)

11426 N 134TH E Ave
Owasso, OK 74055-4715
Phone (918) 727-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Nurse Practitioner CurrentSince Mar 1, 2025 Accepting new patients
On Demand Urgent Care, LLC CurrentSince Dec 22, 2019 Accepting new patients
On Demand Urgent Care LLC PastSince Dec 22, 2019 Accepting new patients
Triad Complete Healthcare A06 LLC Past Accepting new patients

Locations

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

11426 N 134th East Ave
Owasso, OK 74055
Phone (918) 376-6345

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1154837763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N 14TH ST STE 114",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 N GARNETT RD",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554495",
            "telephone_number": "918-272-2882",
            "fax_number": "918-928-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "REBEKAH",
        "credential": "APRN,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "80142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED NURSING LICENSE",
            "identifier": "80142",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.