Individual provider Active NPI

Joy Ivaschenko, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1144713165
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-144955 Issued in AL
Practice address
5804 1St Ave S
Birmingham, AL 35212-2524
Phone
(205) 380-9455
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-144955 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-144955 AL Primary
Nurse Practitioner 363L00000X 1-144955 AL

Addresses

Primary practice location

5804 1St Ave S
Birmingham, AL 35212-2524

Mailing address

846 New Style Cir
Clanton, AL 35045-8332
Phone (205) 702-5220

Other practice location 1

3719 Dauphin St
Mobile, AL 36608-1753
Phone (251) 344-9630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180724003621 AL Practitioner - Nurse Practitioner 7416204243 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-144955ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Immediate Care, LLC CurrentSince Jan 1, 2023 Accepting new patients
Springhill Emergency Physicians, PC CurrentSince Jul 1, 2018 Accepting new patients
Christ Health Center Inc CurrentSince Apr 1, 2025 Accepting new patients
Christ Health Center Inc Current Accepting new patients
Christ Health Center Inc CurrentSince Apr 1, 2025 Accepting new patients

Locations

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

5804 1st Ave S
Birmingham, AL 35212
Phone (205) 380-9450

5720 1st Ave S
Birmingham, AL 35212
Phone (205) 380-9455

104 Chelsea Point Dr
Chelsea, AL 35043
Phone (205) 453-7550

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joy.vigneulle.1@12373.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1144713165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 NEW STYLE CIR",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350458332",
            "telephone_number": "205-702-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5804 1ST AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352122524",
            "telephone_number": "205-380-9455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3719 Dauphin St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366081753",
            "country_code": "US",
            "telephone_number": "251-344-9630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVASCHENKO",
        "first_name": "JOY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-144955",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-144955",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-144955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.