Abagail Sanderson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

600 Issued in OK

Practice address

6363 S Trenton Ave
Tulsa, OK 74136-0741

Phone

(918) 745-9868

Fax

(918) 745-0199

NPI assigned

Apr 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1386031714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 E 61ST ST",
            "address_2": "APT 225",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331531",
            "telephone_number": "918-344-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 S TRENTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741360741",
            "telephone_number": "918-745-9868",
            "fax_number": "918-745-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "ABAGAIL",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "600",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2009008006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Dawn Sanders, ACNP
• Taylor Lynn Sanders, APRN
• Tearria Diann Sanders
• Thomas Sanders, D.MIN.
• Whitney Kay Sanders
• Brenda Sanderson
• Jayme Don Sanderson, M.S.
• Leslie M Sanderson
• Aleeza Sandhu
• Zoya Sandhu, DO

• Athletic Trainer in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.