MRS. TABETHA NICOLE MATHIESEN MS CCC-SLP
NPI 1093065682
Speech-Language Pathologist in Crescent, OK

Q: What is Tabetha Mathiesen's NPI number?

The NPI number for Tabetha Mathiesen is 1093065682. It was assigned to this individual provider in the NPPES registry on September 11, 2012. The provider is also known as Ms. Tabetha Nicole Kraeutner Ms Ccc-Slp.

Q: What is Tabetha Mathiesen's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Tabetha Mathiesen was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2012

205 E CIMARRON BLVD, CRESCENT, OK 73028(405) 795-7110 Get Directions Write a Review

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Tabetha Nicole Mathiesen Ms Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TABETHA NICOLE MATHIESEN MS CCC-SLP (NPI 1093065682) is an individual speech-language pathologist provider in Crescent, Oklahoma, licensed in Oklahoma (3775) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1093065682

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. TABETHA NICOLE MATHIESENCredential: MS CCC-SLP

Location Address205 E CIMARRON BLVDCrescent, OK 73028-9296

Mailing Address205 E Cimarron BlvdCrescent, OK 73028-9296 · (405) 795-7110

Phone(405) 795-7110

Sole ProprietorNo

Enumeration DateSeptember 11, 2012

Last NPPES UpdateJuly 11, 2013

✔ NPI 1093065682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in OK · 3775

Definition

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.

205 E CIMARRON BLVD, Crescent, OK 73028

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Other Names 1

Former Name (1)Ms. Tabetha Nicole Kraeutner Ms Ccc-slp

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tabetha Mathiesen's NPI number?

The NPI number for Tabetha Mathiesen is 1093065682. It was assigned to this individual provider in the NPPES registry on September 11, 2012. The provider is also known as Ms. Tabetha Nicole Kraeutner Ms Ccc-Slp.

Where is Tabetha Mathiesen located?

Tabetha Mathiesen practices at 205 E Cimarron Blvd, Crescent, OK 73028. The listed phone number is (405) 795-7110.

What is Tabetha Mathiesen's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Tabetha Mathiesen was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.