Individual provider Active NPI

Lavonna K Sanders, CRNA

  • Certified Registered Nurse Anesthetist
  • Claremore, OK
National Provider Identifier
1326151085
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R49134 Issued in OK
Practice address
1202 N Muskogee PL
Claremore, OK 74017-3058
Phone
(918) 341-2556
Fax
(918) 342-2304
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R49134 OK Primary

Addresses

Primary practice location

1202 N Muskogee PL
Claremore, OK 74017-3058

Mailing address

9900 E 570 Rd
Catoosa, OK 74015-6294
Phone (918) 344-0807

Other identifiers 2

IdentifierTypeStateIssuer
100783920AMedicaidOK
1285810051OtherOKMEDICARE GROUP PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000052 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254383060 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Anesthesia Services IncGroup PAC ID 1850718420, 5 clinicians

Practice addresses (Care Compare)

7191 S Yale Ave
Tulsa, OK 74136-6326
Phone (918) 693-2599

9308 S Toledo Ave
Tulsa, OK 74137-2739
Phone (918) 344-0807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R49134OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Sep 9, 2021 Accepting new patients
H&H Medical Services, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2013 Accepting new patients
Sage Anesthesia Services Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 20, 2024 Accepting new patients
Rural Wellness Anadarko Inc CurrentSince Jul 1, 2024 Accepting new patients
Rural Wellness Anadarko Inc CurrentSince Jul 1, 2024 Accepting new patients
Anesthesia Associates of Oklahoma PLLC Past Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Claremore Physicians LLC Past Accepting new patients
Claremore Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Ahs Oklahoma Physician Group LLC Past Accepting new patients
Advanced Anesthesia Associates, LLC Past Accepting new patients

Locations

1002 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-2551

1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556

1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915

209 S 36th St
Muskogee, OK 74401
Phone (918) 682-7717

3800 W Okmulgee St
Muskogee, OK 74401
Phone (918) 682-9899

Dept 960617
Oklahoma City, OK 73196

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

2308 W Highway 66
Stroud, OK 74079
Phone (918) 968-3571

7191 S Yale Ave
Tulsa, OK 74136
Phone (417) 782-6571

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

Dept 2876
Tulsa, OK 74182

735 N Foreman St
Vinita, OK 74301
Phone (918) 256-7551

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1326151085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 E 570 RD",
            "city": "CATOOSA",
            "state": "OK",
            "postal_code": "740156294",
            "telephone_number": "918-344-0807",
            "fax_number": "918-266-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N MUSKOGEE PL",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173058",
            "telephone_number": "918-341-2556",
            "fax_number": "918-342-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "LAVONNA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R49134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100783920A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "1285810051",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.