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

Casey Ryan Divin

Individual provider Family Nurse Practitioner · NPI 1154835536

Casey Ryan Divin is a Family Nurse Practitioner in San Antonio, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2017

Practice location Address checks out

5414 Fredericksburg Rd Ste 100A
San Antonio, TX 78229-3641
Phone: (210) 468-0800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20529 Wind Spgs, San Antonio, TX 78258-7457 — (210) 677-9697

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP135899 (TX)

Record details

NPI number1154835536
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 21, 2017
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021

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