Heal Tech Med LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HEAL TECH MED LLC

Practice address

2384 Highway 287 N Ste 216
Mansfield, TX 76063-9207

Phone

(469) 567-9974

Fax

(817) 415-6595

NPI assigned

Aug 27, 2025

Last updated

Sep 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paidamoyo Yvonne WagonekaNPI 1700391257

Title

Owner

Phone

(469) 567-9974

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paidamoyo Yvonne Wagoneka

  • Family Nurse Practitioner
  • Mansfield, TX
  • NPI 1700391257
  Medicare reassignment NPD Authorized official
• Elizabeth Ikenyei

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Prairie, TX
  • NPI 1760127377
  Medicare reassignment NPD
• Joy Onyeugwor, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1457058554
  Medicare reassignment NPD

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1215816053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2384 HIGHWAY 287 N STE 216",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639207",
            "telephone_number": "469-567-9974",
            "fax_number": "817-415-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2384 HIGHWAY 287 N STE 216",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639207",
            "telephone_number": "469-567-9974",
            "fax_number": "817-415-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL TECH MED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "WAGONEKA",
        "authorized_official_first_name": "PAIDAMOYO",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-567-9974"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy A Hawkins
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• Nadine Marie Hayes-Grubbs, LPC
• Malcolm Hayes
• Scott Hayes
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• Healing Hope Behavioral Clinic LLC
• Health Gardens Home Care LLC
• Health Imaging Partners, LLC (Envision Imaging at Hunters Row)
• Health Imaging Partners, LLC (Envision Imaging - Women's Imaging Mansfield)

• Family Nurse Practitioner in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.