ANNETTE WATERS
NPI 1629527825
Speech-Language Pathologist in San Carlos, CA

Active since September 28, 2016Accepts Medicare Assignment
1017 CEDAR ST, SAN CARLOS, CA 94070(650) 244-1519 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2019, Sep 28, 2016 (2 updates tracked since 2016).

About Annette Waters NPPES

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

ANNETTE WATERS (NPI 1629527825) is an individual speech-language pathologist provider in San Carlos, California, licensed in California (18014) and active in the NPI registry since September 2016. She is a graduate of Other (2008).

NPPES Registry Identity

NPI1629527825
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameANNETTE WATERS
Location Address1017 CEDAR STSan Carlos, CA 94070
Mailing Address373 Brookmere Dr.San Jose, CA 95123 · (916) 230-2104
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 28, 2016
Last NPPES UpdateMay 16, 20192 updates tracked since enumeration
✔ NPI 1629527825 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 CA · 18014
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.
1017 CEDAR ST, San Carlos, CA 94070

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Annette 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 ID5193298776
PECOS Enrollment IDI20260625000254

Medicare Billing Reassignment

Medicare enrollment records show Annette Waters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
16868 VIA DEL CAMPO CT STE 100
San Diego, CA 92127
  • Reassigned Medicare billing, California enrollment
  • 58 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Annette Waters's NPI number?

The NPI number for Annette Waters is 1629527825. It was assigned to this individual provider in the NPPES registry on September 28, 2016.

Where is Annette Waters located?

Annette Waters practices at 1017 Cedar St, San Carlos, CA 94070. The listed phone number is (650) 244-1519.

What is Annette Waters's specialty?

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

Is Annette Waters enrolled in Medicare?

Yes. Annette Waters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Annette Waters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annette Waters reassigns Medicare benefits to Fox Rehabilitation Physical Therapy Ca PC (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annette Waters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Annette Waters was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.