Individual provider Active NPI

Sandra Atwood, APRN-BC

  • Family Nurse Practitioner
  • St John, VI
National Provider Identifier
1790098796
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11808P Issued in VI
Practice address
481-2 Chocolate Hole
St John, VI 00830-6120
Phone
(340) 714-4270
NPI assigned
Jul 19, 2010
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP11808P VI Primary
Registered Nurse 163W00000X RN2262015 MA

Addresses

Primary practice location

481-2 Chocolate Hole
St John, VI 00830-6120

Mailing address

5000 Estate Enighed
PMB 311
St John, VI 00830-6120
Phone (340) 714-4270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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
I20170707001490 VI Order and Referring Only - Nurse Practitioner 8729357751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2262015MAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1790098796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 ESTATE ENIGHED",
            "address_2": "PMB 311",
            "city": "ST JOHN",
            "state": "VI",
            "postal_code": "008306120",
            "telephone_number": "340-714-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481-2 CHOCOLATE HOLE",
            "city": "ST JOHN",
            "state": "VI",
            "postal_code": "008306120",
            "telephone_number": "340-714-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "SANDRA",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VI",
            "license": "AP11808P",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2262015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St John, VI

Sources for this page

Verify at the official NPI Registry.