Individual provider Active NPI

Amy J. Kreykes, MD, MPH

  • Sports Medicine (Family Medicine) Physician
  • Fort Collins, CO
National Provider Identifier
1992069124
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
R8398 Issued in TX
Practice address
1101 Oakridge Dr Unit B
Fort Collins, CO 80525-5536
Phone
(970) 223-1199
NPI assigned
Jul 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X R8398 TX Primary

Addresses

Primary practice location

1101 Oakridge Dr Unit B
Fort Collins, CO 80525-5536

Mailing address

301 University Blvd
Galveston, TX 77555-1110

Other practice location 1

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 747-6131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170217001521 TX Practitioner - Family Practice 4486954245 Reassigns benefits to 2 organizations
I20221007002669 CO Practitioner - Family Practice 4486954245 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Thoreau Clinic CurrentSince Jan 17, 2017 Accepting new patients
St Lukes Medical Clinic LLC CurrentSince Jun 27, 2022 Accepting new patients
Utmb Faculty Group Practice CurrentSince Apr 7, 2020 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients
Pueblo Pintado Clinic Current Accepting new patients

Locations

1101 Oakridge Dr
Unit B
Fort Collins, CO 80525
Phone (970) 223-1199

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

Interoperability endpoints

  • Direct secure messaging: amy.kreykes.1@18545.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18545/brand/1/csg/1/fhir/r4

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1992069124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OAKRIDGE DR UNIT B",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255536",
            "telephone_number": "970-223-1199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775555302",
            "country_code": "US",
            "telephone_number": "409-747-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREYKES",
        "first_name": "AMY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "R8398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.