Individual provider Active NPI

Linda Jane Waters, CFNP

  • Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1982701090
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F0406049 Issued in TX
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
F0406049OtherTXNURSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070209000472 TX Practitioner - Nurse Practitioner 2860494408 Reassigns benefits to 2 organizations

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
Hospice of Wichita Falls, Inc.Group PAC ID 2264450428, 5 clinicians

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

LicenseStateTypeSpecialty
F0406049TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andre P Desire, MD, PA CurrentSince Nov 16, 2016 Accepting new patients
Hospice of Wichita Falls, Inc. CurrentSince Mar 2, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.