Kalana Sanders, RN
Individual provider Active NPI Family Nurse Practitioner · Gladewater, TX
NPI 1831706431 · NPPES record last updated May 1, 2025
Key facts
- NPI
- 1831706431
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1141457 (TX)
- Practice address
- 307 W Upshur Ave
Gladewater, TX 75647-2121 - Phone
- (903) 845-2159
- Fax
- (903) 845-5451
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phynet, Inc.
Practice addresses (Care Compare)
307 W Upshur Ave
Gladewater, TX 75647-2121
Phone (903) 845-2159
Hospital & facility affiliations
- Onesource Home Care Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250310000025 | TX | Practitioner - Nurse Practitioner | 3173044005 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phynet, Inc. | Current |
Accepting new patients | |
| Phynet, Inc. | Past |
Accepting new patients |
Locations
307 W Upshur Ave
Gladewater, TX 75647
Phone (903) 845-2159
1711 S Henderson Blvd
Ste 300
Kilgore, TX 75662
Phone (903) 983-1578
4002 Technology Ctr
Longview, TX 75605
Phone (903) 247-0484
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1141457 | TX | Yes |
| Registered Nurse | 163W00000X | 950173 | TX |
Addresses
Primary practice location
307 W Upshur Ave
Gladewater, TX 75647-2121
Mailing address
10611 County Road 165 N
Overton, TX 75684-3324
Phone (903) 808-1418
Other providers in Gladewater, TX
- Meagan Bree Poindexter
- Gabrielle Kathryn Rebecca
- RSK Community Services LLC
- Kathryn Lanell Rumsey
- Sabine Independent School District
- Macy Santee
- Tonya Gretchen Sartor
- Sentinel Gardens Corp. Inc
- Shahid Dental Group Gladewater, PLLC
- Mallory Vail Dippold Shelton
All providers in Gladewater, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.