Active NPI
Linda Jane Waters, CFNP
- Nurse Practitioner
- Wichita Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F0406049
- Practice address
- 1709 10TH St
Suite B
Wichita Falls, TX 76301-5037 - Phone
- (940) 687-5000
- Fax
- (940) 687-4000
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F0406049 | TX | Primary |
Addresses
Primary practice location
1709 10TH St
Suite B
Wichita Falls, TX 76301-5037
Mailing address
1709 10TH St
Suite B
Wichita Falls, TX 76301-5037
Phone (940) 687-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0406049 | Other | TX | NURSE PRACTITIONER CERTIF |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4909 Johnson Rd
Wichita Falls, TX 76310-2547
Phone (940) 691-0982
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0406049 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andre P Desire, MD, PA | Current | Accepting new patients | |
| Hospice of Wichita Falls, Inc. | Current | Accepting new patients |
Locations
4909 Johnson Rd
Wichita Falls, TX 76310
Phone (940) 691-0982
1709 10th St
Ste B
Wichita Falls, TX 76301
Phone (940) 687-5000
1631 11th St
Unit B
Wichita Falls, TX 76301
Phone (940) 263-3000
Interoperability endpoints
- linda.waters.1@12215.direct.athenahealth.com
Organizations & group practices 2
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.
-
dba Palliative Care of North Texas
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wichita Falls, TX
- NPI 1871960500
-
- Cardiovascular Disease Physician
- Wichita Falls, TX
- NPI 1821016676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982701090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 10TH ST",
"address_2": "SUITE B",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015037",
"telephone_number": "940-687-5000",
"fax_number": "940-687-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 10TH ST",
"address_2": "SUITE B",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015037",
"telephone_number": "940-687-5000",
"fax_number": "940-687-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "LINDA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "F0406049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER CERTIF",
"identifier": "F0406049",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.