Active NPI
Bailey Elizabeth Sanders, LAT, ATC
- Athletic Trainer
- Tullahoma, TN
National Provider Identifier
1326602012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2810
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2810 | TN | MD | Mental 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.