Individual provider Active NPI

Regina Edamwen Iyawe, APRN FNP-BC PMHNP BC

  • Family Nurse Practitioner
  • Denison, TX
National Provider Identifier
1619169752
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61298310 Issued in WA
Practice address
1105 Memorial Dr Ste 101
Denison, TX 75020-2043
Phone
(214) 440-7151
Fax
(866) 268-1244
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1056729 TX
Family Nurse Practitioner 363LF0000X AP61298310 WA Primary

Addresses

Primary practice location

1105 Memorial Dr Ste 101
Denison, TX 75020-2043

Mailing address

1105 Memorial Dr Ste 101
Denison, TX 75020-2043
Phone (214) 440-7151

Other practice location 1

402 S 4th Ave
Yakima, WA 98902-3546
Phone (509) 575-4084

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL COMPUTER Health Information Exchange (HIE)

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
I20250506000091 TX Practitioner - Nurse Practitioner 1951650993 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61298310WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Pool Healthcare Agency CurrentSince Dec 5, 2021 Accepting new patients
Healing Pool Home Healthcare Agency Current Accepting new patients
Family Wellness and Psychiatry LLC Psychiatric/Mental Health CurrentSince Dec 2, 2024 Accepting new patients

Locations

1105 Memorial Dr
Ste 101
Denison, TX 75020
Phone (214) 440-7151

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1619169752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MEMORIAL DR STE 101",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202043",
            "telephone_number": "214-440-7151",
            "fax_number": "844-837-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MEMORIAL DR STE 101",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202043",
            "telephone_number": "214-440-7151",
            "fax_number": "866-268-1244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 S 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023546",
            "country_code": "US",
            "telephone_number": "509-575-4084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IYAWE",
        "first_name": "REGINA",
        "middle_name": "EDAMWEN",
        "name_prefix": "Miss",
        "credential": "APRN FNP-BC PMHNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1056729",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61298310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "COMPUTER",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "372 Ridgeview Dr",
            "city": "Sherman",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750905119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.