Active NPI
Amy Leona Riley, M.D.
- Family Medicine Physician
- Rifle, CO
National Provider Identifier
1871556902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39836
- Practice address
- 501 Airport Rd
Rifle, CO 81650-8510 - Phone
- (970) 625-1100
- Fax
- (970) 625-0725
- NPI assigned
- Apr 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39836 | CO | Primary |
Addresses
Primary practice location
501 Airport Rd
Rifle, CO 81650-8510
Mailing address
501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-1100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 840513889035 | Other | CO | RMHP |
| 57205761 | Medicaid | CO | |
| GR664484 | Other | CO | BCBS |
Other names 1
- Amy Leona Clark
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39836 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roaring Fork Family Physicians, P.C. | Family Medicine | Past | Accepting new patients |
| Valley View Hospital Association | 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 and National Provider Directory roles.
-
- Family Medicine Physician
- Carbondale, CO
- NPI 1063630226
-
- General Acute Care Hospital
- Glenwood Springs, CO
- NPI 1982668133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289952000000",
"number": "1871556902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 AIRPORT RD",
"city": "RIFLE",
"state": "CO",
"postal_code": "816508510",
"telephone_number": "970-625-1100",
"fax_number": "970-625-0725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 AIRPORT RD",
"city": "RIFLE",
"state": "CO",
"postal_code": "816508510",
"telephone_number": "970-625-1100",
"fax_number": "970-625-0725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "AMY",
"middle_name": "LEONA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2010-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "39836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RMHP",
"identifier": "840513889035",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57205761",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "GR664484",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "CLARK",
"middle_name": "LEONA",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rifle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.