Individual provider Active NPI

Kelly E Sommers, APRN

  • Family Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1609052083
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN3356552 Issued in FL
Practice address
3131 N McMullen Booth Rd
Clearwater, FL 33761-2008
Phone
(727) 726-8871
Fax
(727) 723-9055
NPI assigned
Jan 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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 APRN3356552 FL Primary

Addresses

Primary practice location

3131 N McMullen Booth Rd
Clearwater, FL 33761-2008

Mailing address

1363 S Duncan Ave
Clearwater, FL 33756-3611
Phone (727) 710-6550

Other identifiers 1

IdentifierTypeStateIssuer
WGZU3OtherFLFLORIDA BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20080922000235 FL Practitioner - Nurse Practitioner 0749357598 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN3356552FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Healthcare Systems LLC CurrentSince Aug 10, 2019 Accepting new patients
Guidewell Sanitas I, LLC CurrentSince May 17, 2025 Accepting new patients
Unique Management Group PastSince Aug 10, 2019 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

30555 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 214-2079

7101 US Highway 19 N
Pinellas Park, FL 33781
Phone (727) 201-8585

11241 Park Blvd
Ste A
Seminole, FL 33772
Phone (727) 273-1300

3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1609052083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 S DUNCAN AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563611",
            "telephone_number": "727-710-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 N MCMULLEN BOOTH RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612008",
            "telephone_number": "727-726-8871",
            "fax_number": "727-723-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERS",
        "first_name": "KELLY",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN3356552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "WGZU3",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.