Chama Alisha Martin, RN

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

0001234575 Issued in VA

Practice address

557 John Baker Rd
Fieldale, VA 24089-3340

Phone

(276) 521-2697

NPI assigned

Oct 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ca Health Services

  • In Home Supportive Care Agency
  • Fieldale, VA
  • NPI 1871161216
  NPD Authorized official

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1174098909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 JOHN BAKER RD",
            "city": "FIELDALE",
            "state": "VA",
            "postal_code": "240893340",
            "telephone_number": "276-521-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 JOHN BAKER RD",
            "city": "FIELDALE",
            "state": "VA",
            "postal_code": "240893340",
            "telephone_number": "276-521-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHAMA",
        "middle_name": "ALISHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "0001234575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0725176520",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ca Health Services
• Dwight Tyler Holt, FNP-BC
• PRN Home Healthcare LLC
• Rose From Concrete Counseling LLC

• In Home Supportive Care Agency in Fieldale, VA
• Providers in Fieldale, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.