Active NPI
Iroda T Mukhamedova, MSN, RN, FNP-C
- Psychiatric/Mental Health Nurse Practitioner
- North Chesterfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024179613
- Practice address
- 11600 Busy St Ste 203
North Chesterfield, VA 23236-4066 - Phone
- (804) 506-0526
- Fax
- (804) 506-0526
- NPI assigned
- Sep 4, 2020
- Last updated
- Oct 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024179613 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024179613 | VA | Primary |
Addresses
Primary practice location
11600 Busy St Ste 203
North Chesterfield, VA 23236-4066
Mailing address
2661 St Elias Dr Unit a
Henrico, VA 23294-3535
Phone (901) 428-6389
Other practice location 1
14101 Midlothian Tpke
Midlothian, VA 23113-6523
Phone (804) 893-5144
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Master of Science - Nursing, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Medical LLC | Current | Accepting new patients | |
| Little Clinic of VA LLC | Family | Current | Accepting new patients |
| Foundation Medical LLC | Past | Accepting new patients |
Locations
14101 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 419-0821
11600 Busy St
Ste 203
North Chesterfield, VA 23236
Phone (804) 506-0526
7000 Tim Price Way
North Chesterfield, VA 23225
Phone (804) 772-8541
8751 Park Central Dr
Ste 200
Richmond, VA 23227
Phone (804) 261-3340
Organizations & group practices 3
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.
-
dba Foundation Medical Group
- Psychiatry Physician
- North Chesterfield, VA
- NPI 1003275124
-
- Family Nurse Practitioner
- Henrico, VA
- NPI 1225440076
-
dba Foundation Medical Group
- Psychiatry Physician
- American Fork, UT
- NPI 1104760685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1083228217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2661 ST ELIAS DR UNIT A",
"city": "HENRICO",
"state": "VA",
"postal_code": "232943535",
"telephone_number": "901-428-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 BUSY ST STE 203",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232364066",
"telephone_number": "804-506-0526",
"fax_number": "804-506-0526"
}
],
"practiceLocations": [
{
"address_1": "14101 Midlothian Tpke",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "VA",
"postal_code": "231136523",
"country_code": "US",
"telephone_number": "804-893-5144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUKHAMEDOVA",
"first_name": "IRODA",
"middle_name": "T",
"credential": "MSN, RN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-04",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024179613",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024179613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.