Individual provider Active NPI

Shanytel Monee Weathersby, FNP-C

  • Family Nurse Practitioner
  • Merced, CA
National Provider Identifier
1740605260
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95035488 Issued in CA
Practice address
Shanytel Weathersby
737 W Childs Ave
Merced, CA 95341
Phone
(209) 722-4842
NPI assigned
Feb 19, 2014
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18399 TN
Family Nurse Practitioner 363LF0000X AP10453 AZ
Family Nurse Practitioner 363LF0000X AP61569619 WA
Family Nurse Practitioner 363LF0000X 95035488 CA Primary

Addresses

Primary practice location

Shanytel Weathersby
737 W Childs Ave
Merced, CA 95341

Mailing address

5910 Good Hope LN
Liberty, MS 39645-5259
Phone (480) 280-6511

Other identifiers 1

IdentifierTypeStateIssuer
277973MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX, AZ, CA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160302001966 TN Practitioner - Nurse Practitioner 4981900800 Reassigns benefits to 2 organizations
I20170726002815 TX Practitioner - Nurse Practitioner 4981900800 Reassigns benefits to 1 organization
I20171218000898 AZ Practitioner - Nurse Practitioner 4981900800 Reassigns benefits to 2 organizations
I20250912001733 CA Practitioner - Nurse Practitioner 4981900800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 National Dr
Suite 135
Sacramento, CA 95834-1947

1910 Customer Care Way
Atwater, CA 95301-5167

40910 Fremont Blvd
Fremont, CA 94538-4375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10453AZMDFamily Nurse Practitioner
95035488CAMDFamily Nurse Practitioner
18399TNMDFamily Nurse Practitioner
AP61569619WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Dec 5, 2023 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jun 23, 2017 Accepting new patients
Golden Valley Health Centers CurrentSince Aug 1, 2025 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Golden Valley Health Center CurrentSince Aug 1, 2025 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jun 23, 2017 Accepting new patients
Carr PLLC CurrentSince Jan 23, 2016 Accepting new patients
Denova Collaborative Health, LLC CurrentSince Jun 8, 2024 Accepting new patients
Denova Collaborative Health, LLC CurrentSince Jun 8, 2024 Accepting new patients
Denova Collaborative Health, LLC CurrentSince Jun 8, 2024 Accepting new patients
Denova Collaborative Health, LLC CurrentSince Jun 8, 2024 Accepting new patients
T M Carr MD PC Nurse Practitioner CurrentSince Aug 1, 2016 Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations (25 of 34)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

3033 N Central Ave
Ste 700
Phoenix, AZ 85012
Phone (602) 281-7289

3101 N Central Ave
Ste 500
Phoenix, AZ 85012

3101 N Central Ave
Ste 550
Phoenix, AZ 85012

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

610 E Baseline Rd
Ste 5
Phoenix, AZ 85042

610 E Baseline Rd
Ste C5
Phoenix, AZ 85042

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

5594 E 22nd St
Tucson, AZ 85711
Phone (520) 232-2047

6565 E Carondelet Dr
Ste 215
Tucson, AZ 85710
Phone (520) 547-2311

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

Interoperability endpoints

  • Direct secure messaging: shanytel.weathersbyfnp.p1@direct.nextcare.nextgenshare.com
  • Direct secure messaging: sweathersby788551@direct.multicare.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1740605260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 GOOD HOPE LN",
            "city": "LIBERTY",
            "state": "MS",
            "postal_code": "396455259",
            "telephone_number": "480-280-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SHANYTEL WEATHERSBY",
            "address_2": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95341",
            "telephone_number": "209-722-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERSBY",
        "first_name": "SHANYTEL",
        "middle_name": "MONEE",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18399",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61569619",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95035488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277973",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.