Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jacob Waters

Individual provider Speech-Language Pathologist · NPI 1568857035

Jacob Waters is a Qualified Speech Language Pathologist in Colonial Heights, Virginia. Qualified in 2015, 11 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2015

Practice location Address checks out

235 Dunlop Farms Blvd
Colonial Heights, VA 23834-1792
Phone: (804) 520-0050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2202007850 (VA)

Record details

NPI number1568857035
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2015
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients19
Services billed 28 a service is one billed item, such as a visit, a test or a procedure
Average patient age85

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Legacy Healthcare Services Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3624 clinicians in the practice; 12 are shown here.

Other providers in Colonial Heights