Individual provider Active NPI

Julie Lynne Uliano, PA

  • Physician Assistant
  • Johnson City, TN
National Provider Identifier
1821978909
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6251 Issued in TN
Practice address
302 Wesley St Ste 3
Johnson City, TN 37601-1741
Phone
(423) 282-0561
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 6251 TN
Physician Assistant 363A00000X 6251 TN Primary

Addresses

Primary practice location

302 Wesley St Ste 3
Johnson City, TN 37601-1741

Mailing address

302 Wesley St Ste 3
Johnson City, TN 37601-1741
Phone (423) 282-0561

Other names 1

  • Julie Lynne Malacusky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20260107000140 TN Practitioner - Physician Assistant 0345736682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1011 Cherokee Rd
Johnson City, TN 37604-7224

302 Wesley St
Johnson CIty, TN 37601-1741

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Healthcare Inc. CurrentSince Dec 4, 2025 Accepting new patients

Locations

302 Wesley St
Ste 3
Johnson City, TN 37601
Phone (423) 202-3772

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": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1821978909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WESLEY ST STE 3",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011741",
            "telephone_number": "423-282-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WESLEY ST STE 3",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011741",
            "telephone_number": "423-282-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULIANO",
        "first_name": "JULIE",
        "middle_name": "LYNNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "6251",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MALACUSKY",
            "middle_name": "LYNNE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.