Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194468363 Individual Practitioner Female Practitioner

Raegen S Gibson , MS, CCC-SLP

Speech-Language Pathologist • Pryor, OK

Professional Overview & Biography Verified Profile Summary

Raegen Gibson, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Pryor, OK. Practice services are available at 2790 OLD HIGHWAY 20 E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2790 Old Highway 20 E

Pryor, OK 743612954

Telephone 9188641099

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Pryor, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Pryor, OK (2489 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-20
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Oklahoma State License
5731 (OK)
Commercial Insurance / Payer ID American Speech-Language Hearing Association
14296746

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 20, 2023

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

📍
Updated Business Mailing Address July 20, 2023

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

NPI Profile Active May 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2022

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

📍
Updated Business Mailing Address May 04, 2022

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

👤
Provider Name / Credentials Updated May 04, 2022

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

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

Speech-Language Pathologist (License #5731 in OK)

🟢
Initial NPI Registration & Enumeration April 15, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.