Dawn Phelps Martin, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024184093 Issued in VA

Practice address

800 Oak Street
Farmville, VA 23901

Phone

(434) 392-8811

NPI assigned

Mar 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Universal Health Corporation

  • Internal Medicine Physician
  • Roanoke, VA
  • NPI 1407117625
  Medicare reassignment NPD

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1942950050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2289 SPRING GROVE RD",
            "city": "SPOUT SPRING",
            "state": "VA",
            "postal_code": "245932603",
            "telephone_number": "434-610-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK STREET",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "23901",
            "telephone_number": "434-392-8811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Oak St",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239011199",
            "country_code": "US",
            "telephone_number": "434-392-8811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2289 Spring Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Spout Spring",
            "state": "VA",
            "postal_code": "245932603",
            "country_code": "US",
            "telephone_number": "434-610-1497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Oak St",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239011199",
            "country_code": "US",
            "telephone_number": "434-392-8811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DAWN",
        "middle_name": "PHELPS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "VA",
            "license": "0001164576",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Martda7@centrahealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2289 Spring Grove Rd",
            "city": "Spout Spring",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245932603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "martda7@centrahealth.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Centra Health Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Oak St",
            "city": "Farmville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "239011199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holly Lanea Mann, CSAC-S
• Supriya Mannepalli, M.D.
• Cynthia Anne Marsh
• Timothy Dean Marshall, D.D.S.
• Jonathan Eric Marston, MD
• Samuel A. Martin Jr., O.D.
• Mary's Rest Home for Adults Inc.
• Eileen May, LPC
• Larry M McBride
• Rhian McCann

• Family Nurse Practitioner in Farmville, VA
• Providers in Farmville, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.