Active NPI
In-Home Support by Shawana Martin
- Licensed Practical Nurse
- Collinsville, VA
National Provider Identifier
1003748518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- Legal business name
- IN-HOME SUPPORT BY SHAWANA MARTIN
- Practice address
- 105 Ferndale Dr
Collinsville, VA 24078-3030 - Phone
- (276) 732-5667
- NPI assigned
- May 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shawana S Martin, LPN
- Title
- Owner
- Phone
- (276) 732-5667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Primary |
Addresses
Primary practice location
105 Ferndale Dr
Collinsville, VA 24078-3030
Mailing address
105 Ferndale Dr
Collinsville, VA 24078-3030
Phone (276) 732-5667
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780099200000",
"number": "1003748518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 FERNDALE DR",
"city": "COLLINSVILLE",
"state": "VA",
"postal_code": "240783030",
"telephone_number": "276-732-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 FERNDALE DR",
"city": "COLLINSVILLE",
"state": "VA",
"postal_code": "240783030",
"telephone_number": "276-732-5667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN-HOME SUPPORT BY SHAWANA MARTIN",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-30",
"last_updated": "2026-05-30",
"certification_date": "2026-05-30",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "SHAWANA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "276-732-5667",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Collinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.