Individual provider Active NPI

Tyecha Newsome Whitfield

  • Nurse Practitioner
  • New Bern, NC
National Provider Identifier
1770241515
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
292611 Issued in NC
Practice address
2111 Neuse Blvd Ste H
New Bern, NC 28560-4318
Phone
(833) 354-1492
Fax
(866) 554-1804
NPI assigned
Nov 29, 2021
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 292611 NC Primary
Registered Nurse 163W00000X 292611 NC

Addresses

Primary practice location

2111 Neuse Blvd Ste H
New Bern, NC 28560-4318

Mailing address

2111 Neuse Blvd Ste H
New Bern, NC 28560-4318
Phone (833) 354-1492

Other names 1

  • Tyecha Mone Newsome Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
292611NCMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1770241515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 NEUSE BLVD STE H",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604318",
            "telephone_number": "833-354-1492",
            "fax_number": "866-554-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 NEUSE BLVD STE H",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604318",
            "telephone_number": "833-354-1492",
            "fax_number": "866-554-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "TYECHA",
        "middle_name": "NEWSOME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "292611",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "292611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYECHA",
            "last_name": "NEWSOME",
            "middle_name": "MONE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.