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Raegen S Gibson , MS, CCC-SLP

Speech-Language Pathologist β€’ Pryor, OK

Active NPI 1194468363 Individual Practitioner Female Practitioner
Practice location in NPPES

2790 Old Highway 20 E
Pryor, OK 743612954

Call 9188641099 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2790 Old Highway 20 E

Pryor, OK 743612954

Telephone 9188641099

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pryor and Oklahoma

13 active clinicians are listed under Speech-Language Pathologist with a practice address in Pryor, OK (2,454 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pryor

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-07-20
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES OK 5731

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Oklahoma State License
5731 (OK)
Other Identifier American Speech-Language Hearing Association
14296746

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 20, 2023

Registered at 2790 OLD HIGHWAY 20 E, PRYOR, OK 743612954 (Tel: 9188641099)

πŸ“
Updated Business Mailing Address July 20, 2023

Registered at 2790 OLD HIGHWAY 20 E, PRYOR, OK 743612954 (Tel: 9188641099)

βœ…
NPI Profile Active May 04, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 04, 2022

Registered at 215 E CHEROKEE ST, WAGONER, OK 744674703 (Tel: 9184855998)

πŸ“
Business Mailing Address (Initial Record) May 04, 2022

Registered at 215 E CHEROKEE ST, WAGONER, OK 744674703 (Tel: 9184855998)

πŸ‘€
Provider Name / Credentials (Initial Record) May 04, 2022

Recorded as RAEGEN GIBSON, M.S., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2022

Speech-Language Pathologist (license number reported to NPPES: OK 5731)

🟒
Initial NPI Registration & Enumeration April 15, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194468363
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2022
Last Update: July 20, 2023
Sole Proprietor: No

Mailing Address

2790 Old Highway 20 E

Pryor, OK 743612954

Phone: 9188641099

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.