NPIMap

Individual provider Active NPI

Julie Tutak Maly, ARNP

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1972536514
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN3307172 Issued in FL
Practice address
741 Blanding Blvd
Orange Park, FL 32065-5702
Phone
(904) 212-2639
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN3307172 FL Primary

Addresses

Primary practice location

741 Blanding Blvd
Orange Park, FL 32065-5702

Mailing address

741 Blanding Blvd
Orange Park, FL 32065-5702
Phone (904) 212-2639

Other practice location 1

4200 NW 90th Blvd
Gainesville, FL 32606-3809
Phone (352) 379-6210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040114000053 FL Practitioner - Nurse Practitioner 3072414077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Healthcare Resources LLCGroup PAC ID 0345305876, 29 clinicians

Practice addresses (Care Compare)

4200 NW 90TH Blvd
Gainesville, FL 32606-3809
Phone (844) 558-4111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN3307172FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Healthcare Resources LLC Family CurrentSince Oct 14, 2025 Accepting new patients
Abode Hospice of Florida, LLC PastSince Dec 7, 2025 Accepting new patients
Vatsala Sastry MD PA Past Accepting new patients
Hospice and Palliative Physician Services, LLC PastSince Dec 1, 2007 Accepting new patients
North Central Florida Hospice, Inc. PastSince Dec 7, 2025 Accepting new patients
Ravishankar L Rao M D PA PastSince Jun 4, 2001 Accepting new patients

Locations

2200 S Bowman Rd
Ste A
Little Rock, AR 72211
Phone (501) 558-4100

4200 NW 90th Blvd
Gainesville, FL 32606
Phone (352) 378-2121

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1972536514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655702",
            "telephone_number": "904-212-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655702",
            "telephone_number": "904-212-2639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 NW 90th Blvd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326063809",
            "country_code": "US",
            "telephone_number": "352-379-6210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALY",
        "first_name": "JULIE",
        "middle_name": "TUTAK",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN3307172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.