Individual provider Active NPI

Robin Lynne Phillips, APRN, FNP-C

  • Family Nurse Practitioner
  • Marion, AR
National Provider Identifier
1174134019
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
125577 Issued in AR
Practice address
1139 State Highway 77
Marion, AR 72364-9027
Phone
(870) 559-2480
Fax
(870) 559-2555
NPI assigned
Aug 13, 2020
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 125577 AR Primary

Addresses

Primary practice location

1139 State Highway 77
Marion, AR 72364-9027

Mailing address

600 Greenfield Dr
Marion, AR 72364-2677
Phone (870) 945-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20201208000881 AR Practitioner - Nurse Practitioner 8426460981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Family Medical LLCGroup PAC ID 0648601351, 3 clinicians

Practice addresses (Care Compare)

1139 State Hwy 77
Marion, AR 72364-9053
Phone (870) 559-2480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125577ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Family Medical LLC CurrentSince Jul 17, 2023 Accepting new patients
Advent Medical, PLLC Past Accepting new patients

Locations

1139 State Highway 77
Marion, AR 72364
Phone (870) 559-2480

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15967/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1174134019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GREENFIELD DR",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642677",
            "telephone_number": "870-945-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 STATE HIGHWAY 77",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649027",
            "telephone_number": "870-559-2480",
            "fax_number": "870-559-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ROBIN",
        "middle_name": "LYNNE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "125577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, AR

Sources for this page

Verify at the official NPI Registry.