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KATHRYN TIDABACK M.S. CCC-SLP
NPI 1821614934
Speech-Language Pathologist in Capitola, CA

Active since June 24, 2020
820 BAY AVE STE 212, CAPITOLA, CA 95010(831) 854-2060 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Tidaback M.s. Ccc-slp NPPES

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

KATHRYN TIDABACK M.S. CCC-SLP (NPI 1821614934) is an individual speech-language pathologist provider in Capitola, California, licensed in California (27759) and active in the NPI registry since June 2020. She maintains a secondary practice location in Santa Cruz.

NPPES Registry Identity

NPI1821614934
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKATHRYN TIDABACKCredential: M.S. CCC-SLP
Location Address820 BAY AVE STE 212Capitola, CA 95010-2103
Mailing Address1031 Brommer StSanta Cruz, CA 95062-2807 · (520) 780-0666
Phone(831) 854-2060
Sole ProprietorYes
Enumeration DateJune 24, 2020
NPPES CertifiedJune 24, 2020
✔ NPI 1821614934 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 CA · 27759
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.
820 BAY AVE STE 212, Capitola, CA 95010
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Secondary Practice Location 1

Location 11031 Brommer StSanta Cruz, CA 95062-2807 · Phone (520) 780-0666

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN LLEWELLYN
Student in an Organized Health Care Education/Training Program
820 BAY AVE STE 212
CAPITOLA, CA 95010
Santa Cruz County (831) 854-2060
SHAWNEE URRERE
Student in an Organized Health Care Education/Training Program
820 BAY AVE STE 212
CAPITOLA, CA 95010
Santa Cruz County (831) 854-2060
SAVANNAH GLUCK
Occupational Therapist
820 BAY AVE STE 212
CAPITOLA, CA 95010
Santa Cruz County (831) 854-2060
ESTHER NOEMI SICAN
Occupational Therapist
820 BAY AVE STE 212
CAPITOLA, CA 95010
Santa Cruz County (831) 854-2060
LENA GIPSON SHOWALTER OTD
Occupational Therapist
820 BAY AVE STE 212
CAPITOLA, CA 95010
Santa Cruz County (831) 854-2060
MS. MAGGIE JEANNE LONG CF- SLP
Speech-Language Pathologist
820 BAY AVE STE 212
CAPITOLA, CA 95010
Santa Cruz County (831) 854-2060

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 Kathryn Tidaback's NPI number?

The NPI number for Kathryn Tidaback is 1821614934. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Kathryn Tidaback located?

Kathryn Tidaback practices at 820 Bay Ave Ste 212, Capitola, CA 95010. The listed phone number is (831) 854-2060.

What is Kathryn Tidaback'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 Kathryn Tidaback was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.