Individual provider Active NPI

Symira Von'Yea Dearman, FNP-C

  • Family Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1245082700
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1042324 Issued in TX
Practice address
214 E Houston St
Tyler, TX 75702-8131
Phone
(903) 535-9041
NPI assigned
Apr 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1042324 TX Primary

Addresses

Primary practice location

214 E Houston St
Tyler, TX 75702-8131

Mailing address

214 E Houston St
Tyler, TX 75702-8131
Phone (903) 535-9041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240909000084 TX Practitioner - Nurse Practitioner 9638619455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tyler Family Circle of CareGroup PAC ID 4587812888, 28 clinicians

Practice addresses (Care Compare)

214 E Houston St
Tyler, TX 75702-8131
Phone (903) 535-9041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1042324TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler Family Circle of Care CurrentSince Jun 20, 2024 Accepting new patients
Tyler Family Circle of Care PastSince Jan 19, 2025 Accepting new patients

Locations

214 E Houston St
Tyler, TX 75702
Phone (903) 593-1892

523 S Fannin Ave
Tyler, TX 75702

2990 N Broadway Ave
Tyler, TX 75702
Phone (903) 245-1984

Interoperability endpoints

  • Direct secure messaging: sdearman152140@christushealth.direct-ci.net

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1245082700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E HOUSTON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028131",
            "telephone_number": "903-535-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E HOUSTON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028131",
            "telephone_number": "903-535-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARMAN",
        "first_name": "SYMIRA",
        "middle_name": "VON'YEA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1042324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.