Individual provider Active NPI

Robin Leann Atwood, APRN, NP-C

  • Nurse Practitioner
  • Liberty, KY
National Provider Identifier
1679093876
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3011401 Issued in KY
Practice address
84 Hustonville St
Liberty, KY 42539-3456
Phone
(606) 706-7473
Fax
(859) 236-0066
NPI assigned
Jun 20, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3011401 KY Primary

Addresses

Primary practice location

84 Hustonville St
Liberty, KY 42539-3456

Mailing address

84 Hustonville St
Liberty, KY 42539-3456
Phone (606) 706-7473

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
I20170913000571 KY Practitioner - Nurse Practitioner 3173896180 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
Group practices
Advanced Family Medical Clinic Mount VernonGroup PAC ID 2062780810, 6 clinicians
Advanced Family Medical Clinic LibertyGroup PAC ID 3173891926, 5 clinicians

Practice addresses (Care Compare)

79 Sarahs LN
Somerset, KY 42503-2789
Phone (606) 392-2060

84 Hustonville St
Liberty, KY 42539-3469
Phone (606) 706-7473

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.66 of 100Reported as group
Quality
39.23
Promoting interoperability
99
Improvement activities
40
Cost
43.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3011401KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Medical Clinic Liberty CurrentSince Aug 7, 2017 Accepting new patients
Advanced Family Medical Clinic Mount Vernon CurrentSince Aug 7, 2017 Accepting new patients
Brooks Family Medical LLC CurrentSince Dec 7, 2025 Accepting new patients
Ky Pharmacy CurrentSince Dec 7, 2025 Accepting new patients

Locations

84 Hustonville St
Liberty, KY 42539
Phone (606) 706-7473

79 Sarahs Ln
Somerset, KY 42503
Phone (606) 386-1917

Organizations & group practices 4

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.

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679093876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HUSTONVILLE ST",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425393456",
            "telephone_number": "606-706-7473",
            "fax_number": "859-236-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HUSTONVILLE ST",
            "city": "LIBERTY",
            "state": "KY",
            "postal_code": "425393456",
            "telephone_number": "606-706-7473",
            "fax_number": "859-236-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "ROBIN",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3011401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, KY

Sources for this page

Verify at the official NPI Registry.