NICOLE WATERS MA, CCC-SLP
NPI 1104763200
Speech-Language Pathologist in Cloquet, MN

Active since April 29, 2026
302 14TH ST, CLOQUET, MN 55720(218) 879-6721(218) 879-6724 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Waters Ma, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE WATERS MA, CCC-SLP (NPI 1104763200) is an individual speech-language pathologist provider in Cloquet, Minnesota, licensed in Minnesota (417609) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1104763200
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameNICOLE WATERSCredential: MA, CCC-SLP
Location Address302 14TH STCloquet, MN 55720-2102
Mailing Address302 14th StCloquet, MN 55720-2102 · (218) 879-6721 · Fax (218) 879-6724
Fax(218) 879-6724
Sole ProprietorNo
Enumeration DateApril 29, 2026
NPPES CertifiedApril 29, 2026
NPI 1104763200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MN · 417609
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
302 14TH ST, Cloquet, MN 55720

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Local Education Agency (LEA)
302 14TH ST
CLOQUET, MN 55720
Local Education Agency (LEA)
302 14TH ST
CLOQUET, MN 55720
Local Education Agency (LEA)
302 14TH ST
CLOQUET, MN 55720
Local Education Agency (LEA)
302 14TH ST
CLOQUET, MN 55720
Local Education Agency (LEA)
302 14TH ST
CLOQUET, MN 55720
Local Education Agency (LEA)
302 14TH ST
CLOQUET, MN 55720
Speech-Language Pathologist
302 14TH ST
CLOQUET, MN 55720
Local Education Agency (LEA)
302 14TH ST
CLOQUET, MN 55720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Waters's NPI number?

The NPI number for Nicole Waters is 1104763200. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Nicole Waters located?

Nicole Waters practices at 302 14th St, Cloquet, MN 55720. The listed phone number is (218) 879-6721.

What is Nicole Waters's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Nicole Waters was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.