Irina Vladimirovna Ashamalla, MSN, FNP-C, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP10066 Issued in AZ

Practice address

18001 N 79TH Ave Ste B48
Glendale, AZ 85308-8393

Phone

(888) 906-8301

Fax

(623) 404-6602

NPI assigned

Jun 8, 2017

Sex

Female

Sole proprietor

Yes

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 AZ

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: irina.ashamalla.1@24909.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24909/brand/1/csg/1/fhir/r4

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.

• Mental Health Wellness Boutique

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale, AZ
  • NPI 1972266757
  Medicare reassignment NPD Authorized official
• Notre Dame Behavioral Health, PLLC

  • Psychiatry Physician
  • Surprise, AZ
  • NPI 1356749543
  Medicare reassignment NPD

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1205365772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18001 N 79TH AVE STE B48",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088393",
            "telephone_number": "888-906-8301",
            "fax_number": "623-404-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 N 79TH AVE STE B48",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088393",
            "telephone_number": "888-906-8301",
            "fax_number": "623-404-6602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10210 W Happy Valley Pkwy Ste 145",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853832881",
            "country_code": "US",
            "telephone_number": "888-906-8301",
            "fax_number": "623-404-6602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14811 W Bell Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853747602",
            "country_code": "US",
            "telephone_number": "623-328-7323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHAMALLA",
        "first_name": "IRINA",
        "middle_name": "VLADIMIROVNA",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10066",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PracticeFusion",
            "affiliation": "N",
            "address_1": "14811 W Bell Rd Ste 100",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853747602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AthenaHealth",
            "affiliation": "N",
            "address_1": "18001 N 79th Ave Ste B48",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853088393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Artisan Family Dentistry LLC
• Aneta Arzumanova, FNP-C
• Shahram D Asadi, DO
• Ascending Angels Health Services
• Stephen Alexander Ash, MD
• Nancy Ashby, FNP-C
• Ask Alliance Healthcare, PLLC (Therapeutic Healthy Living, LLC)
• Mary Beth Askew, OTR/L
• Aspire Community Services
• Aspire Health LLC

• Psychiatric/Mental Health Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.