Individual provider Active NPI

Amy Brooke Wicker, FNP

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1215730379
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
222677 Issued in OK
Practice address
5101 W Memorial Rd
Oklahoma City, OK 73142-2018
Phone
(405) 463-5700
NPI assigned
Mar 31, 2025
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 222677 OK Primary

Addresses

Primary practice location

5101 W Memorial Rd
Oklahoma City, OK 73142-2018

Mailing address

701 E Olivia Ter
Mustang, OK 73064-4839
Phone (405) 250-0789

Other practice location 1

1728 Professional Cir
Yukon, OK 73099-6470
Phone (405) 265-2733

Other practice location 2

220 SW 89th St Ste D
Oklahoma City, OK 73139-8517
Phone (405) 839-8005

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
222677OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Advanced Practice Family Nursing, PLLC Family Current Accepting new patients

Locations

220 SW 89th St
Ste D
Oklahoma City, OK 73139
Phone (405) 839-8005

Interoperability endpoints

  • Direct secure messaging: amy.brooke.wicker.1@25509.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25509/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1215730379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E OLIVIA TER",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644839",
            "telephone_number": "405-250-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731422018",
            "telephone_number": "405-463-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1728 Professional Cir",
            "address_purpose": "LOCATION",
            "city": "Yukon",
            "state": "OK",
            "postal_code": "730996470",
            "country_code": "US",
            "telephone_number": "405-265-2733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 SW 89th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731398517",
            "country_code": "US",
            "telephone_number": "405-839-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKER",
        "first_name": "AMY",
        "middle_name": "BROOKE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "222677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.