Individual provider Active NPI

Amy Nicole Sommer, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Glenpool, OK
National Provider Identifier
1912414830
Registry record updated Dec 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
109439 Issued in OK
Practice address
259 E 141St St
Glenpool, OK 74033-3583
Phone
(918) 771-8771
Fax
(918) 553-0356
NPI assigned
Dec 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 109439 OK Primary

Addresses

Primary practice location

259 E 141St St
Glenpool, OK 74033-3583

Mailing address

PO Box 103
Kiefer, OK 74041-0103

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
109439OKMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Pediatrics, PLLC Pediatrics CurrentSince Dec 28, 2025 Accepting new patients
Your Health LLC PastSince Jun 11, 2023 Accepting new patients
Aky MD, LLC PastSince Jun 11, 2023 Accepting new patients
Sprouts Child Development Initiative, Inc. Past Accepting new patients
Treasured Pediatric Care Hilary Nicholson Aprn-CNP, PLLC Past Accepting new patients

Locations

259 E 141st St
Glenpool, OK 74033
Phone (918) 771-8771

Interoperability endpoints

  • Direct secure messaging: amy.sommer@jkp.gwaydirect.com
  • FHIR API: https://api.platform.athenahealth.com/11664/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232

Organizations & group practices 5

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": "1514592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1912414830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "KIEFER",
            "state": "OK",
            "postal_code": "740410103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E 141ST ST",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740333583",
            "telephone_number": "918-771-8771",
            "fax_number": "918-553-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMER",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-30",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "109439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenpool, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.