CARLY JEAN WEAVER
NPI 1629637293
Nurse Practitioner in Temple Terrace, FL

Q: What is Carly Weaver's NPI number?

The NPI number for Carly Weaver is 1629637293. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Q: What is Carly Weaver's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Carly Weaver was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 07, 2019

12470 TELECOM DR STE 300W, TEMPLE TERRACE, FL 33637(813) 871-8200(813) 357-5501 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Aug 3, 2020, Jul 18, 2019 and 1 more (4 updates tracked since 2019).

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About Carly Jean Weaver NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY JEAN WEAVER (NPI 1629637293) is an individual nurse practitioner in Temple Terrace, Florida, licensed in Florida (APRN11001578) and active in the NPI registry since June 2019. She maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1629637293

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCARLY JEAN WEAVER

Location Address12470 TELECOM DR STE 300WTemple Terrace, FL 33637-0904

Mailing Address12470 Telecom Dr Ste 300wTemple Terrace, FL 33637-0904 · (813) 871-8183 · Fax (813) 871-8184

Phone(813) 871-8200

Fax(813) 357-5501

Sole ProprietorNo

Enumeration DateJune 7, 2019

Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration

NPPES CertifiedAugust 3, 2020

✔ NPI 1629637293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11001578

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 11001578 (FL)

12470 TELECOM DR STE 300W, Temple Terrace, FL 33637

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Secondary Practice Location 1

Location 13003 W Dr Martin Luther King Jr BlvdTampa, FL 33607-6307 · Phone (813) 871-8200

Other Identifiers 2

OtherAPRN11001578FL · Department Of Health

Other4ULEIFL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OFELIA MARIA CHOU ARNP

Nurse Practitioner