Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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
Mailing address4716 Wilconna Rd, Chesterfield, VA 23832-7657

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

Other providers in Colonial Heights