Individual provider Active NPI

Tara Dawn Sanders, ACNP

  • Acute Care Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1962727164
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
220241 Issued in OK
Practice address
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone
(918) 502-1900
Fax
(918) 494-6303
NPI assigned
Mar 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 17223 TN
Acute Care Nurse Practitioner 363LA2100X AP121258 TX
Acute Care Nurse Practitioner 363LA2100X 220241 OK Primary

Addresses

Primary practice location

6161 S Yale Ave
Tulsa, OK 74136-1902

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (918) 499-4855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141104000679 TX Practitioner - Nurse Practitioner 0941324917 Reassigns benefits to 4 organizations
I20241226002132 OK Practitioner - Nurse Practitioner 0941324917 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071

Hospital & facility affiliations

  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17223TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Aug 7, 2023 Accepting new patients
Dallas Pulmonary & Critical Care PA Acute Care CurrentSince Jun 20, 2016 Accepting new patients
Medhealth CurrentSince Aug 7, 2023 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 17, 2014 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Warren Clinic Inc CurrentSince Feb 17, 2025 Accepting new patients
St. John Physicians, Inc. CurrentSince Sep 2, 2025 Accepting new patients
Pulmonary Medicine Consultants, PA CurrentSince Sep 1, 2020 Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC CurrentSince Jul 20, 2025 Accepting new patients
Usacs Critical Care Medicine of Oklahoma, LLC CurrentSince Feb 1, 2026 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 17, 2014 Accepting new patients
St. John Physicians, Inc CurrentSince Sep 2, 2025 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

1923 S Utica Ave
Fl 4
Tulsa, OK 74104
Phone (918) 748-7650

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

221 W Colorado Blvd
Ste 929
Dallas, TX 75208
Phone (214) 947-2724

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75

2821 George Bush Hwy
Ste 404
Richardson, TX 75082
Phone (214) 943-2200

2821 George Bush Hwy
Ste 407
Richardson, TX 75082
Phone (972) 680-0668

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1962727164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "918-499-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361902",
            "telephone_number": "918-502-1900",
            "fax_number": "918-494-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "TARA",
        "middle_name": "DAWN",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "17223",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP121258",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "220241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.