Individual provider Active NPI

Iroda T Mukhamedova, MSN, RN, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1083228217
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024179613 Issued in VA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231006003260 VA Practitioner - Nurse Practitioner 0547615718 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Nursing, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical LLC CurrentSince Feb 2, 2026 Accepting new patients
Little Clinic of VA LLC Family CurrentSince Aug 14, 2023 Accepting new patients
Foundation Medical LLC PastSince Oct 5, 2025 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.

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

Verify at the official NPI Registry.