Individual provider Active NPI

Amy Kathryn Nydam, APRN

  • Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1477070852
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3011568 Issued in KY
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

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100493980MedicaidKY

Other names 1

  • Amy Kathryn Collins Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 329 clinicians

Practice addresses (Care Compare)

1225 S Broadway
Suite 201
Lexington, KY 40504-2701
Phone (859) 258-4568

Hospital & facility affiliations

  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
  • Saint Joseph East Hospital, Lexington, KY, CCN 180143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3011568KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brock Medical, LLC Nurse Practitioner CurrentSince Oct 10, 2017 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2020 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner Current Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Oct 10, 2017 Accepting new patients
Baptist Health Medical Group Inc Nurse Practitioner CurrentSince Oct 1, 2020 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

  • Direct secure messaging: acollins77641@bhkydirect.com
  • Direct secure messaging: amy.nydam.1@13059.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.