Organization Active NPI

Intera Integrative Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gibsonton, FL
National Provider Identifier
1003715145
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
INTERA INTEGRATIVE PSYCHIATRY PLLC
Practice address
12126 Barnsley Reserve PL
Gibsonton, FL 33534-5675
Phone
(813) 315-0658
NPI assigned
Nov 4, 2026
Last updated
Nov 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Authorized official

Name
Mrs. Jessica Mae Weaver, MSN, APRN, PMHNP-BC
Title
Sole Owner
Phone
(813) 315-0658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

12126 Barnsley Reserve PL
Gibsonton, FL 33534-5675

Mailing address

12126 Barnsley Reserve PL
Gibsonton, FL 33534-5675
Phone (813) 315-0658

NPI Registry JSON

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

{
    "created_epoch": "1793750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793750400000",
    "number": "1003715145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12126 BARNSLEY RESERVE PL",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335345675",
            "telephone_number": "813-315-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12126 BARNSLEY RESERVE PL",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335345675",
            "telephone_number": "813-315-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERA INTEGRATIVE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-04",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "813-315-0658",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.