Active NPI
Rebekah Sanders, APRN,FNP
- Nurse Practitioner
- Owasso, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 80142
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80142 | Other | OK | ADVANCED 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| On Demand Urgent Care, LLC | Current | Accepting new patients | |
| On Demand Urgent Care LLC | Past | 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.
-
dba Oklahoma On Demand Urgent Care
- Urgent Care Clinic/Center
- Owasso, OK
- NPI 1982161386
-
- Primary Care Clinic/Center
- Stillwater, OK
- NPI 1932809738
-
- Urgent Care Clinic/Center
- Austintown, OH
- NPI 1811587538
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.