JESSAMYN NICHOLS MA, CCC-SLP
NPI 1316516412
Speech-Language Pathologist in Waverly, IA

Q: What is Jessamyn Nichols's NPI number?

The NPI number for Jessamyn Nichols is 1316516412. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Q: What is Jessamyn Nichols's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessamyn Nichols was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since June 22, 2021Accepts Medicare Assignment

217 E BREMER AVE, WAVERLY, IA 50677(319) 352-4544 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jessamyn Nichols Ma, Ccc-slp NPPES

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

JESSAMYN NICHOLS MA, CCC-SLP (NPI 1316516412) is an individual speech-language pathologist provider in Waverly, Iowa, licensed in Iowa (085663) and active in the NPI registry since June 2021. She maintains a secondary practice location in Waterloo and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316516412

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameJESSAMYN NICHOLSCredential: MA, CCC-SLP

Location Address217 E BREMER AVEWaverly, IA 50677-3435

Mailing Address217 E Bremer AveWaverly, IA 50677-3435 · (319) 352-4544

Phone(319) 352-4544

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 22, 2021

Last NPPES UpdateJune 25, 2021

NPPES CertifiedJune 25, 2021

✔ NPI 1316516412 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 IA · 085663

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.

217 E BREMER AVE, Waverly, IA 50677

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Secondary Practice Location 1

Location 1600 Park LnWaterloo, IA 50702-5200 · Phone (319) 291-8100

Other Identifiers 1

Medicaid665992IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessamyn Nichols Ma, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204378722

PECOS Enrollment IDI20240611003854

Other Providers at the Same Location NPPES 20

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

SARAH MEADE

Speech-Language Pathologist