Individual provider Active NPI

Taylor Elise Sartin, GCNS-BC

  • Gerontology Clinical Nurse Specialist
  • Jenks, OK
National Provider Identifier
1962657775
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
81421 Issued in OK
Practice address
12445 S 18TH Cir
Jenks, OK 74037-3663
Phone
(405) 590-4546
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X 81421 OK Primary

Addresses

Primary practice location

12445 S 18TH Cir
Jenks, OK 74037-3663

Mailing address

12445 S 18TH Cir
Jenks, OK 74037-3663
Phone (405) 590-4546

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

LicenseStateTypeSpecialty
81421OKMDGerontology Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1962657775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12445 S 18TH CIR",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373663",
            "telephone_number": "405-590-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12445 S 18TH CIR",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373663",
            "telephone_number": "405-590-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTIN",
        "first_name": "TAYLOR",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "GCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OK",
            "license": "81421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.