JACOB WATERS - NPI 1568857035 - Speech-Language Pathologist in Colonial Heights, VA

Q: What is Jacob Waters's NPI number?

The NPI number for Jacob Waters is 1568857035. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Q: What is Jacob Waters'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 Jacob Waters was last updated on August 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jacob Waters NPPES

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

JACOB WATERS (NPI 1568857035) is an individual speech-language pathologist provider in Colonial Heights, Virginia, licensed in Virginia (2202007850) and active in the NPI registry since April 2015. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1568857035

Entity TypeIndividualMale

Primary Taxonomy235Z00000X

Provider Legal NameJACOB WATERS

Location Address235 DUNLOP FARMS BLVDColonial Heights, VA 23834-1792

Mailing Address4716 Wilconna RdChesterfield, VA 23832-7657 · (804) 528-9784

Phone(804) 520-0050

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateApril 1, 2015

Last NPPES UpdateAugust 31, 2023

NPPES CertifiedAugust 31, 2023

✔ NPI 1568857035 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 VA · 2202007850

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.

235 DUNLOP FARMS BLVD, Colonial Heights, VA 23834

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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

Jacob Waters 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 ID345608071

PECOS Enrollment IDI20230628000104

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507

This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.

28 services19 patients

Other Providers at the Same Location NPPES 7

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

DANA HUTCHERSON OTR

Occupational Therapist