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DR. AMY CAROL REIDHEAD DC, FNP-C, BSN-RN
NPI 1629574512
Nurse Practitioner - Family in Boulder, CO

Active since April 01, 2018
2355 CANYON BLVD STE 102, BOULDER, CO 80302(303) 390-1245(303) 390-1245 Get Directions Write a Review

NPPES record last updated: March 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Amy Carol Reidhead Dc, Fnp-c, Bsn-rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMY CAROL REIDHEAD DC, FNP-C, BSN-RN (NPI 1629574512) is an individual family provider in Boulder, Colorado, licensed in Colorado (0202308) and active in the NPI registry since April 2018. She maintains a secondary practice location in Boulder.

NPPES Registry Identity

NPI1629574512
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. AMY CAROL REIDHEADCredential: DC, FNP-C, BSN-RN
Location Address2355 CANYON BLVD STE 102Boulder, CO 80302-5652
Mailing Address2355 Canyon Blvd Ste 102Boulder, CO 80302-5652 · (303) 390-1245 · Fax (303) 390-1245
Phone(303) 390-1245
Fax(303) 390-1245
Sole ProprietorNo
Enumeration DateApril 1, 2018
Last NPPES UpdateMarch 25, 2019
✔ NPI 1629574512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · 0202308
Also ListedChiropractorTaxonomy 111N00000X · License 4468 (CO)
Also ListedRegistered NurseTaxonomy 163W00000X · License 0202308 (CO)
2355 CANYON BLVD STE 102, Boulder, CO 80302
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Secondary Practice Location 1

Location 14840 Riverbend Rd Ste 100Boulder, CO 80301-2633 · Phone (303) 449-3777 · Fax (303) 449-3775

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Reidhead's NPI number?

The NPI number for Amy Reidhead is 1629574512. It was assigned to this individual provider in the NPPES registry on April 1, 2018.

Where is Amy Reidhead located?

Amy Reidhead practices at 2355 Canyon Blvd Ste 102, Boulder, CO 80302. The listed phone number is (303) 390-1245.

What is Amy Reidhead's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amy Reidhead was last updated on March 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.