Individual provider Active NPI

Alana Lund Waterford, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Stephenville, TX
National Provider Identifier
1649624750
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
S3337 Issued in TX
Practice address
1401 N Columbia St
Stephenville, TX 76401-2525
Phone
(602) 363-5599
NPI assigned
Apr 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X S3337 TX Primary

Addresses

Primary practice location

1401 N Columbia St
Stephenville, TX 76401-2525

Mailing address

1401 N Columbia St
Stephenville, TX 76401-2525
Phone (602) 363-5599

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200608001182 TX Practitioner - Sports MedicinePractitioner - Family Practice 2860788783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Family and Friends Orthopedics, PLLCGroup PAC ID 4981072485, 3 clinicians

Practice addresses (Care Compare)

251 E Lingleville Rd
Stephenville, TX 76401-1860
Phone (254) 595-3698

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Friends Orthopedics, PLLC CurrentSince Mar 1, 2024 Accepting new patients
Wide Awake Surgery PLLC PastSince Mar 1, 2024 Accepting new patients
Cross Timbers Imaging Past Accepting new patients

Locations

251 E Lingleville Rd
Stephenville, TX 76401
Phone (254) 595-3698

150 River North Blvd
Stephenville, TX 76401
Phone (254) 965-9729

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1649624750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N COLUMBIA ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764012525",
            "telephone_number": "602-363-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N COLUMBIA ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764012525",
            "telephone_number": "602-363-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERFORD",
        "first_name": "ALANA",
        "middle_name": "LUND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "S3337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

Verify at the official NPI Registry.