Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessamyn Nichols, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1316516412

Jessamyn Nichols, MA, CCC-SLP is a Qualified Speech Language Pathologist in Waverly, Iowa. Qualified in 2016, 10 years ago. Practices with Fox Rehab SLP Ia PLLC, a 26-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
10
Licensed in
IA
In the registry since
2021
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

217 E Bremer Ave
Waverly, IA 50677-3435
Phone: (319) 352-4544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Park Ln, Waterloo, IA 50702-5200 — (319) 291-8100

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 085663 (IA)

Record details

NPI number1316516412
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 25, 2021
Certification dateJune 25, 2021

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Fox Rehab Slp Ia Pllc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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