Kimber Marie Sanderson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0111358 Issued in OK

Practice address

315 W 9TH St
Weleetka, OK 74880-8117

Phone

(405) 786-2248

Fax

(405) 786-2006

NPI assigned

Feb 5, 2020

Last updated

Aug 20, 2025By 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 2

Addresses

Other names 1

• Kimber Marie Sanderson Professional name

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

State licenses

Practice roles

Locations

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.

• Sanderson Health Center LLC

  • Rural Health Clinic/Center
  • Weleetka, OK
  • NPI 1710842232
  NPD Authorized official
• Family Clinic of Weleetka

  • Rural Health Clinic/Center
  • Weleetka, OK
  • NPI 1699953687
  NPD
• Fortis Therapy LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1962708883
  NPD (past)
• Williamson Care Centers,Inc.

  dba Rainbow Terrace Care Center

  • Nursing Facility/Intermediate Care Facility
  • Weleetka, OK
  • NPI 1629005137
  NPD (past)

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1710519004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15501 MULBERRY RD",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744378112",
            "telephone_number": "405-584-1071",
            "fax_number": "405-786-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 9TH ST",
            "city": "WELEETKA",
            "state": "OK",
            "postal_code": "748808117",
            "telephone_number": "405-786-2248",
            "fax_number": "405-786-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "KIMBER",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0111358",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "OK",
            "license": "R0111358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBER",
            "last_name": "SANDERSON",
            "middle_name": "MARIE",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Med-Econ Drug Inc (Med-Econ Drug)
• Candace Paige Neeley
• Janet Y Parker, PA
• Greta Richards
• Sanderson Health Center LLC
• Rachel Saylors
• Julie Kay Shearon
• Gallen Sheneman, PHARM.D.
• Guy W Sheneman, DR. OF PHARMACY
• Kristin Sheneman, PHARM. D

• Family Nurse Practitioner in Weleetka, OK
• Providers in Weleetka, 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 Aug 20, 2025; 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.