Active NPI
Julie Marly Valdes, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2020089183
- Practice address
- 3105 W Azeele St
Tampa, FL 33609-3089 - Phone
- (813) 327-5485
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 2020089183 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2020089183 | FL | Primary |
Addresses
Primary practice location
3105 W Azeele St
Tampa, FL 33609-3089
Mailing address
3105 W Azeele St
Tampa, FL 33609-3089
Phone (813) 327-5485
Other practice location 1
1800 Mercy Dr
Orlando, FL 32808-5646
Phone (407) 875-3700
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020089183 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapies 4 Kids, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| MCR Health, Inc. | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Psych 4 U LLC | Past | Accepting new patients |
Locations
700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
1311 N Palm Ave
Pembroke Pines, FL 33026
Phone (954) 780-6093
2010 NW 150th Ave
Ste 120
Pembroke Pnes, FL 33028
Phone 9544319838114
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Psychiatry Physician
- Pembroke Pines, FL
- NPI 1962083428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1386249837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 W AZEELE ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093089",
"telephone_number": "813-327-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 W AZEELE ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093089",
"telephone_number": "813-327-5485"
}
],
"practiceLocations": [
{
"address_1": "1800 Mercy Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328085646",
"country_code": "US",
"telephone_number": "407-875-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALDES",
"first_name": "JULIE",
"middle_name": "MARLY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "FL",
"license": "2020089183",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "2020089183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.