Individual provider Active NPI

Julie Alison Valenza, PA

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1033100474
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004363 Issued in NY
Practice address
15450 Tamiami TRL N
Naples, FL 34110-6217
Phone
(239) 316-3323
Fax
(239) 235-0098
NPI assigned
Nov 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004363 NY Primary

Addresses

Primary practice location

15450 Tamiami TRL N
Naples, FL 34110-6217

Mailing address

340 Tamiami TRL N Ste 162
Naples, FL 34102-5803
Phone (239) 316-3323

Other identifiers 3

IdentifierTypeStateIssuer
P00007686OtherNYRR MEDICARE
114016100MedicaidFL
02346587MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220324001184 FL Practitioner - Physician Assistant 8628112307 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004363NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Hospitalists, Inc PastSince Jun 12, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jvalenza@landmarkhealth-direct.org
  • Direct secure messaging: julie.valenza@320892788015108.direct.elationemr.com

Organizations & group practices 2

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1033100474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 TAMIAMI TRL N STE 162",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025803",
            "telephone_number": "239-316-3323",
            "fax_number": "239-235-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15450 TAMIAMI TRL N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341106217",
            "telephone_number": "239-316-3323",
            "fax_number": "239-235-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZA",
        "first_name": "JULIE",
        "middle_name": "ALISON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00007686",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114016100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02346587",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.