Tyhena Weatherall, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5023707 Issued in NC

Practice address

180 Southwood Dr
Clinton, NC 28328-5002

Phone

(910) 592-8165

NPI assigned

Dec 29, 2025

Last updated

Dec 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Liberty Medical Care Services, LLC

  • Nurse Practitioner
  • Whiteville, NC
  • NPI 1174920300
  Medicare reassignment

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1851257364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 ALSON RD APT 203",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283140054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 SOUTHWOOD DR",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283285002",
            "telephone_number": "910-592-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERALL",
        "first_name": "TYHENA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5023707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faye F. Warren, FNP
• Phillip Henry Warren IV, P.T.
• Karika Partilia Watkins-Hill, PA
• Jordan Rebecca Wattenburger, DNP, FNP-C
• Lawrence J. Watts, MD
• Jamie Alysse Weiner, DNP, FNP-C
• Scott Werner, P.T., D.P.T.
• Westbrook Medical Services, PLLC
• Melissa Whaley, DPT
• Julie Warren Wheeler, MS, CCC-SLP

• Adult Health Nurse Practitioner in Clinton, NC
• Providers in Clinton, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.