Organization Active NPI

Agave Mental Wellness Institute

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1629997465
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AGAVE MENTAL WELLNESS INSTITUTE
Practice address
7660 E Broadway Blvd Ste 101
Tucson, AZ 85710-3759
Phone
(520) 812-1462
Fax
(520) 434-1311
NPI assigned
Jul 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Briana Tibbetts, PMHNP-BC
Title
Owner
Phone
(520) 490-3131

Specialties & licenses 1

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

Addresses

Primary practice location

7660 E Broadway Blvd Ste 101
Tucson, AZ 85710-3759

Mailing address

1460 S Avenida Los Reyes
Tucson, AZ 85748-7720
Phone (520) 812-1462

National Provider Directory

National Provider Directory

Locations

7660 E Broadway Blvd
Ste 101
Tucson, AZ 85710
Phone (520) 703-6483

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1629997465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 S AVENIDA LOS REYES",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857487720",
            "telephone_number": "520-812-1462",
            "fax_number": "520-434-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 E BROADWAY BLVD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103759",
            "telephone_number": "520-812-1462",
            "fax_number": "520-434-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAVE MENTAL WELLNESS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "TIBBETTS",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-490-3131",
        "authorized_official_credential": "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 Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.