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RAEGEN S GIBSON M.S., CCC-SLP
NPI 1194468363
Speech-Language Pathologist in Pryor, OK

Active since April 15, 2022
2790 OLD HIGHWAY 20 E, PRYOR, OK 74361(918) 864-1099 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2023, May 4, 2022, Apr 15, 2022 (3 updates tracked since 2022).

About Raegen S Gibson M.s., Ccc-slp NPPES

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

RAEGEN S GIBSON M.S., CCC-SLP (NPI 1194468363) is an individual speech-language pathologist provider in Pryor, Oklahoma, licensed in Oklahoma (5731) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1194468363
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameRAEGEN S GIBSONCredential: M.S., CCC-SLP
Location Address2790 OLD HIGHWAY 20 EPryor, OK 74361-2954
Mailing Address2790 Old Highway 20 EPryor, OK 74361-2954 · (918) 864-1099
Phone(918) 864-1099
Sole ProprietorNo
Enumeration DateApril 15, 2022
Last NPPES UpdateJuly 20, 20233 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
✔ NPI 1194468363 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 · 5731
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.
2790 OLD HIGHWAY 20 E, Pryor, OK 74361
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Other Identifiers 2

Other5731OK · Oklahoma State License
Other14296746American Speech-language Hearing Association

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 Raegen Gibson's NPI number?

The NPI number for Raegen Gibson is 1194468363. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Raegen Gibson located?

Raegen Gibson practices at 2790 Old Highway 20 E, Pryor, OK 74361. The listed phone number is (918) 864-1099.

What is Raegen Gibson'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 Raegen Gibson was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.