Active NPI
Amy Kathryn Nydam, APRN
- Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3011568
- Practice address
- 1221 S Broadway
Lexington, KY 40504-2701 - Phone
- (859) 258-4950
- Fax
- (859) 258-4618
- NPI assigned
- Aug 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3011568 | KY | |
| Nurse Practitioner | 363L00000X | 3011568 | KY | Primary |
Addresses
Primary practice location
1221 S Broadway
Lexington, KY 40504-2701
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200
Other practice location 1
117 Crossfield Dr Ste B
Versailles, KY 40383-1844
Phone (859) 258-4950
Other practice location 2
101 Medical Heights Dr Ste D
Frankfort, KY 40601-4137
Phone (859) 258-4950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100493980 | Medicaid | KY |
Other names 1
- Amy Kathryn Collins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171115002222 | KY | Practitioner - Nurse Practitioner | 6901162510 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- New Lexington Clinic PSC
Practice addresses (Care Compare)
1225 S Broadway
Suite 201
Lexington, KY 40504-2701
Phone (859) 258-4568
Hospital & facility affiliations
- Saint Joseph Hospital
- Saint Joseph East
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3011568 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brock Medical, LLC | Nurse Practitioner | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
Locations
1591 Hustonville Rd
Danville, KY 40422
Phone (270) 861-1110
301 Versailles Rd
Frankfort, KY 40601
Phone (502) 352-2310
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
1780 Nicholasville Rd
Ste 202
Lexington, KY 40503
Phone (859) 260-5051
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
Interoperability endpoints
- acollins77641@bhkydirect.com
- amy.nydam.1@13059.direct.athenahealth.com
- amy.collins@hca6.eclinicaldirectplus.com
Organizations & group practices 9
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.
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
KY, Nurse Practitioner
-
- Ambulatory Surgical Clinic/Center
- Lexington, KY
- NPI 1093595696
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1144321951
-
- Ambulatory Surgical Clinic/Center
- Lexington, KY
- NPI 1881789964
-
- Nurse Practitioner
- Nicholasville, KY
- NPI 1255805586
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Rural Health Clinic/Center
- Corbin, KY
- NPI 1669256913
Hospital & facility affiliations 4
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": "1503619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781222400000",
"number": "1477070852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-6200",
"fax_number": "859-258-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-4950",
"fax_number": "859-258-4618"
}
],
"practiceLocations": [
{
"address_1": "117 Crossfield Dr Ste B",
"address_purpose": "LOCATION",
"city": "Versailles",
"state": "KY",
"postal_code": "403831844",
"country_code": "US",
"telephone_number": "859-258-4950",
"fax_number": "859-258-4618",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Medical Heights Dr Ste D",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "KY",
"postal_code": "406014137",
"country_code": "US",
"telephone_number": "859-258-4950",
"fax_number": "859-258-4618",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NYDAM",
"first_name": "AMY",
"middle_name": "KATHRYN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-25",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3011568",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3011568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100493980",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "COLLINS",
"middle_name": "KATHRYN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.