Individual provider Active NPI

Aquela Zarlashta Jalalyar, ARNP

  • Nurse Practitioner
  • Richland, WA
National Provider Identifier
1841920907
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61249772 Issued in WA
Practice address
1295 Fowler St # 101
Richland, WA 99352-4723
Phone
(509) 783-5050
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61249772 WA Primary

Addresses

Primary practice location

1295 Fowler St # 101
Richland, WA 99352-4723

Mailing address

PO Box 4218
West Richland, WA 99353-4003
Phone (509) 460-0889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240314004028 WA Practitioner - Nurse Practitioner 7416393293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermahealth Dermatology PLLCGroup PAC ID 8729145677, 8 clinicians

Practice addresses (Care Compare)

1295 Fowler St
Suite 102
Richland, WA 99352-4723
Phone (509) 783-2004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61249772WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermahealth Dermatology, PLLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

1295 Fowler St
Ste 102
Richland, WA 99352
Phone (509) 783-2004

Organizations & group practices 1

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1841920907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4218",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993534003",
            "telephone_number": "509-460-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 FOWLER ST # 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524723",
            "telephone_number": "509-783-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALALYAR",
        "first_name": "AQUELA",
        "middle_name": "ZARLASHTA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61249772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.