Individual provider Active NPI

Julie Marly Valdes, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1386249837
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2020089183 Issued in FL
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

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210910000041 FL Practitioner - Nurse Practitioner 0840696233 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020089183FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Therapies 4 Kids, Inc. Psychiatric/Mental Health CurrentSince Apr 18, 2023 Accepting new patients
MCR Health, Inc. CurrentSince Sep 22, 2021 Accepting new patients
MCR Health, Inc. CurrentSince Sep 22, 2021 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.

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

Verify at the official NPI Registry.