Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629637293 Individual Practitioner Female Practitioner

Carly Jean Weaver

Nurse Practitioner • Temple Terrace, FL

Professional Overview & Biography Verified Profile Summary

Carly Weaver is a registered healthcare professional specializing in Nurse Practitioner in Temple Terrace, FL. Practice services are available at 12470 TELECOM DR STE 300W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12470 Telecom Dr Ste 300w

Temple Terrace, FL 336370904

Telephone 8138718200
Fax 8133575501
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Temple Terrace, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
52 Specialists

Practicing in Temple Terrace, FL (8990 Statewide)

Telehealth Adoption Rate
9.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-03
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11001578

(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.

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License FL 11001578

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Department Of Health
APRN11001578 (FL)
Commercial Insurance / Payer ID Blue Cross Blue Shield
4ULEI (FL)

Secondary Practice Locations

3003 W Dr Martin Luther King Jr Blvd

Tampa, FL 336076307

Phone: 8138718200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
NPI 1073033676

Advanced Registered Nurse Practitioner, Nurse Practitioner (Certified)

Dr. Ravi Samlal , DO

Internal Medicine - Hospice and Palliative Medicine

NPI 1083928592

Doctor of Osteopathic Medicine (D.O.)

Alisa Brindley , APRN

Nurse Practitioner

NPI 1093062820

Advanced Practice Registered Nurse

Dr. Andrea Miller , MD

Family Medicine - Hospice and Palliative Medicine

NPI 1134156813

Doctor of Medicine (M.D.)

Beverly Gilbert , APRN

Nurse Practitioner

NPI 1225412463

Advanced Practice Registered Nurse

Jessica Novak , APRN

Nurse Practitioner

NPI 1275872459

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Nurse Practitioner (License #11001578 in FL)

📍
Updated Business Mailing Address August 03, 2020

Registered at 12470 TELECOM DR STE 300W, TEMPLE TERRACE, FL 336370904 (Tel: 8138718183)

📍
Updated Practice Location July 18, 2019

Registered at 12470 TELECOM DR STE 300W, TEMPLE TERRACE, FL 336370904 (Tel: 8138718200)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2019

Nurse Practitioner (License #APRN11001578 in FL)

NPI Profile Active June 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2019

Registered at 3003 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 336076307 (Tel: 8138718200)

📍
Updated Business Mailing Address June 07, 2019

Registered at 3003 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 336076307

👤
Provider Name / Credentials Updated June 07, 2019

Recorded as CARLY WEAVER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2019

Nurse Practitioner (License #11001578 in FL)

🟢
Initial NPI Registration & Enumeration June 07, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629637293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2019
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

12470 Telecom Dr Ste 300w

Temple Terrace, FL 336370904

Phone: 8138718183

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.