Individual provider Active NPI

Bailey Elizabeth Sanders, LAT, ATC

  • Athletic Trainer
  • Tullahoma, TN
National Provider Identifier
1326602012
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2810 Issued in TN
Practice address
1801 N Jackson St
Tullahoma, TN 37388-8259
Phone
(931) 393-3000
NPI assigned
Apr 28, 2019
Reactivated
May 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Athletic Trainer 2255A2300X 2810 TN Primary

Addresses

Primary practice location

1801 N Jackson St
Tullahoma, TN 37388-8259

Mailing address

475 Swanholme Dr Apt I307
Murfreesboro, TN 37128-1551
Phone (615) 586-7444

Other practice location 1

475 Swanholme Dr Apt I307
Murfreesboro, TN 37128-1551
Phone (615) 586-7444

Other names 1

  • Bailey Elizabeth Griffin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2810TNMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1556409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1326602012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SWANHOLME DR APT I307",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371281551",
            "telephone_number": "615-586-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888259",
            "telephone_number": "931-393-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Swanholme Dr Apt I307",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371281551",
            "country_code": "US",
            "telephone_number": "615-586-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "BAILEY",
        "middle_name": "ELIZABETH",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-28",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "deactivation_date": "2019-04-30",
        "reactivation_date": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "GRIFFIN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.