Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104763200 Individual Practitioner Female Practitioner

Nicole Waters , MA, CCC-SLP

Speech-Language Pathologist • Cloquet, MN

Professional Overview & Biography Verified Profile Summary

Nicole Waters, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Cloquet, MN. Practice services are available at 302 14TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

302 14th St

Cloquet, MN 557202102

Telephone 2188796721
Fax 2188796724
Associated Practice Facility / Clinic
🏢 Barnum Isd 91 Facility NPI 1467516708

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Cloquet, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Cloquet, MN (3097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MN 417609

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Sydney Gilbert , MS, CCC-SLP

Speech-Language Pathologist

NPI 1194670265

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Lindsie Biggerstaff , MA CCC-SLP

Speech-Language Pathologist

NPI 1609282524

MACCCSLP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 29, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2026

Registered at 302 14TH ST, CLOQUET, MN 557202102 (Tel: 2188796721)

📍
Updated Business Mailing Address April 29, 2026

Registered at 302 14TH ST, CLOQUET, MN 557202102 (Tel: 2188796721)

👤
Provider Name / Credentials Updated April 29, 2026

Recorded as NICOLE WATERS, MA, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2026

Speech-Language Pathologist (License #417609 in MN)

🟢
Initial NPI Registration & Enumeration April 29, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104763200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2026
Last Update: April 29, 2026
Sole Proprietor: No

Mailing Address

302 14th St

Cloquet, MN 557202102

Phone: 2188796721

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.