Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Jo Diviney, APRNFNP-C

Individual provider Family Nurse Practitioner · NPI 1235928425

Carly Jo Diviney, APRNFNP-C is a Nurse Practitioner in Tyler, Texas. Qualified in 2025, 1 year ago. Practices with Northeast Texas Emergency Physicians PLLC, a 192-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

800 E Dawson St
Tyler, TX 75701-2036
Phone: (903) 606-4262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F06250973 (TX)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 899590 (TX)

Record details

NPI number1235928425
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNFNP-C
Sole proprietorNo
NPI enumeratedMay 5, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Northeast Texas Emergency Physicians Pllc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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