Individual provider Active NPI

Angela Diahann Tyler, FNP

  • Family Nurse Practitioner
  • Snyder, TX
National Provider Identifier
1720625213
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143184 Issued in TX
Practice address
1912 6TH St
Snyder, TX 79549-8422
Phone
(325) 335-1444
Fax
(325) 400-2939
NPI assigned
Dec 4, 2019
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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 AP143184 TX Primary

Addresses

Primary practice location

1912 6TH St
Snyder, TX 79549-8422

Mailing address

1912 6TH St
Snyder, TX 79549-8422
Phone (325) 335-1444

Other practice location 1

601 Golder Ave
Odessa, TX 79761-4412
Phone (432) 580-8000

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
I20220126000040 TX Practitioner - Nurse Practitioner 3375935380 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143184TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Snyder Family Healthcare LLC Family CurrentSince Jul 1, 2026 Accepting new patients
Stafford Family Practice PLLC CurrentSince May 2, 2025 Accepting new patients
Texas Innovative Medics PLLC CurrentSince May 2, 2025 Accepting new patients

Locations

601 Golder Ave
Odessa, TX 79761
Phone (432) 332-1631

1912 6th St
Snyder, TX 79549
Phone (325) 335-1444

203 Brand Ln
Ste 35
Stafford, TX 77477
Phone (281) 598-6614

1500 Lamar St
Sweetwater, TX 79556
Phone (325) 842-7235

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1720625213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 6TH ST",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795498422",
            "telephone_number": "325-335-1444",
            "fax_number": "325-400-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 6TH ST",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795498422",
            "telephone_number": "325-335-1444",
            "fax_number": "325-400-2939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Golder Ave",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797614412",
            "country_code": "US",
            "telephone_number": "432-580-8000",
            "fax_number": "432-332-9677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "ANGELA",
        "middle_name": "DIAHANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snyder, TX

Sources for this page

Verify at the official NPI Registry.