MRS. TABETHA NICOLE MATHIESEN (NPI# 1093065682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093065682 |
| Entity Type | Individual |
| Full Name | MRS. TABETHA NICOLE MATHIESEN |
| Other Name | MS. TABETHA NICOLE KRAEUTNER |
| Credential | MS CCC-SLP |
| Practice Address |
205 E Cimarron Blvd Crescent OK 73028-9296 |
| Practice Telephone | 4057957110 |
| Mailing Telephone | 4057957110 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2013-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 3775 | OK | Speech, Language and Hearing Service Providers |
| Street Address |
205 E CIMARRON BLVD |
| City | CRESCENT |
| State | OK |
| Zip Code | 73028-9296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578024774 | Crescent Dental Group Pllc | Dentist | 120 N Grand, Crescent, OK 73028 | 2019-03-29 |
| 1124197496 | Ambulance District of The Crescent School District | Ambulance | 120 W Monroe, Crescent, OK 73028 | 2006-11-08 |
| 1134135932 | Logsdon Lotz Drug Inc | Pharmacy | 101 N Grand, Crescent, OK 73028 | 2006-08-01 |
| 1427056662 | Stephen Ralph Travis | Internal Medicine | 400 S Grand, Crescent, OK 73028 | 2005-07-12 |
| 1851952683 | Next Plan, LLC | Pharmacy | 101 N Grand, Crescent, OK 73028 | 2019-06-24 |
| 1497753487 | Logan Hospital and Medical Center Authority | Clinic/Center | 400 S Grand, Crescent, OK 73028 | 2005-07-13 |
| 1437157500 | Lee Curtis Rittenhouse | General Practice | 400 S Grand, Crescent, OK 73028 | 2005-07-12 |
| 1457633802 | Linda Carol Best | Nurse Practitioner | 613 W Van Buren, Crescent, OK 73028-0000 | 2011-09-12 |
| 1447459359 | Robert William Worden | Emergency Medicine | 315 South Grand, # 542, Crescent, OK 73028-0542 | 2007-07-12 |
| 1295178929 | Jocelyn Janea Humphrey | Speech-Language Pathologist | 11803 W Cooksey Rd, Crescent, OK 73028-8774 | 2013-04-11 |
| Find all providers in zip 73028 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295178929 | Jocelyn Janea Humphrey | Speech-Language Pathologist | 11803 W Cooksey Rd, Crescent, OK 73028-8774 | 2013-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1649878679 | Paula Mitchell Therapy, LLC | Speech-Language Pathologist | 3930 Indian Point Cir, Norman, OK 73026-8634 | 2020-10-12 |
| 1457958175 | Shaye Lynn Kirkpatrick | Speech-Language Pathologist | 11912 S Nandina St, Jenks, OK 74037-4375 | 2020-10-06 |
| 1427655158 | Erin Katherine Durbin | Speech-Language Pathologist | 3628 S Blackberry Ln, Atoka, OK 74525-5447 | 2020-10-06 |
| 1649887134 | Julianna Whiteley Dittus | Speech-Language Pathologist | 1639 S Florence Pl, Tulsa, OK 74104-5214 | 2020-09-28 |
| 1386250769 | Jessica Nicole Jacobs | Speech-Language Pathologist | 315 E Peak Blvd, Muskogee, OK 74403-8515 | 2020-09-21 |
| 1134735970 | Grace Marie Prieto | Speech-Language Pathologist | 505 E Sheridan Ave Apt 1126, Oklahoma City, OK 73104-6704 | 2020-09-17 |
| 1972118297 | Tammy Sanders | Speech-Language Pathologist | 10208 Berrywood Dr, Oklahoma City, OK 73151-4006 | 2020-09-14 |
| 1346854932 | Angela Lea Smith | Speech-Language Pathologist | 2222 Sw 44th St, Oklahoma City, OK 73119-3526 | 2020-09-01 |
| 1093329765 | Emma E Laborn | Speech-Language Pathologist | 14002 E 21st St # 650, Tulsa, OK 74134-1425 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.