Individual provider Active NPI

Amy Susan Trevey, D,C,

  • Chiropractor
  • Parker, CO
National Provider Identifier
1245442144
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5253 Issued in CO
Practice address
12919 Stroh Ranch Court
Unit B
Parker, CO 80134
Phone
(720) 851-2475
Fax
(720) 851-2476
NPI assigned
May 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5253 CO Primary

Addresses

Primary practice location

12919 Stroh Ranch Court
Unit B
Parker, CO 80134

Mailing address

12919 Stroh Ranch Court
Unit B
Parker, CO 80134
Phone (720) 851-2475

Other names 1

  • Dr. Amy Susan Derry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000736 CO Practitioner - ChiropracticPractitioner - Osteopathic Manipulative Medicine 0042272130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Osteopathic Manipulative Medicine
Education
National College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12900 Stroh Ranch PL
Unit 105
Parker, CO 80134-3484
Phone (303) 981-4212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5253COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Center for Intergrative Medicine Past Accepting new patients

Organizations & group practices 2

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245442144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12919 STROH RANCH COURT",
            "address_2": "UNIT B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "720-851-2475",
            "fax_number": "720-851-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12919 STROH RANCH COURT",
            "address_2": "UNIT B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "80134",
            "telephone_number": "720-851-2475",
            "fax_number": "720-851-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVEY",
        "first_name": "AMY",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D,C,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DERRY",
            "middle_name": "SUSAN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.