Lilian Wangondu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1210949 Issued in TX

Practice address

1413 Topaz TRL
Celina, TX 75009-6735

Phone

(214) 504-6945

NPI assigned

Dec 1, 2025

Last updated

Dec 1, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Direct Primary Care in Texas LLC

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1942806773
  Medicare reassignment NPD
• Raguel LLC

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1962373191
  Medicare reassignment NPD
• Royal Haven Medical

  • Primary Care Nurse Practitioner
  • Mansfield, TX
  • NPI 1740895911
  Medicare reassignment NPD

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1396607230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 TOPAZ TRL",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750096735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 TOPAZ TRL",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750096735",
            "telephone_number": "214-504-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGONDU",
        "first_name": "LILIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1210949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Wade
• Michael Wayne Wagoner, DO
• Wal-Mart Stores Texas, LLC (Walmart Pharmacy 10-1250)
• Wal-Mart Stores Texas, LLC (Walmart Vision Center 30-1250)
• Walgreen Co (Walgreens #21507)
• Sabrina Washington
• Heather Caroline Weemes
• Whole Mind Counseling, LLC
• Hailey Williams, DPT
• Cynthia Ann Woods

• Psychiatric/Mental Health Nurse Practitioner in Celina, TX
• Providers in Celina, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.