Stacey Gayle Sanders, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

206990 Issued in OK

Practice address

317 N Rockford Rd
Ardmore, OK 73401-2552

Phone

(580) 319-4242

NPI assigned

Apr 11, 2022

Last updated

Apr 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacey.sanders.1@30469.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Exceptional Physicians Group Ardmore Hospital PLLC

  • Emergency Medicine Physician
  • Ardmore, OK
  • NPI 1588427462
  Medicare reassignment NPD
• Rhea Buycks PA LLC

  dba Rockford Family Care

  • Family Medicine Physician
  • Ardmore, OK
  • NPI 1619421377
  Medicare reassignment NPD
• Virtual Medical Solutions, LLC

  dba Carter County Wound Care

  • Medical Specialty Clinic/Center
  • Ardmore, OK
  • NPI 1801538467
  Medicare reassignment NPD
• Access Health Family and Urgent Care, LLC

  • Primary Care Clinic/Center
  • Ardmore, OK
  • NPI 1275403958
  NPD (past)

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1598407579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 W BROADWAY ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734019076",
            "telephone_number": "580-504-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N ROCKFORD RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012552",
            "telephone_number": "580-319-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "STACEY",
        "middle_name": "GAYLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "206990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S Dawnita Sampson, APRN-CNP
• Sara Sampson
• Cindy Sanchez
• Roldon Sanchez, PA
• Kayla Sanders
• Deisy Sandoval Hernandez
• Lindsay Sanford
• Penny Dawn Sarabia, M.ED.
• Sarah E Clay O D P C
• Jenny Renee Saunders

• Family Nurse Practitioner in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.