KRISTIN MAHATHEY (SLP) – Speech-Language Pathologist, NPI 1073144663

KRISTIN MAHATHEY (SLP) is a healthcare provider. based in Edmond, Oklahoma. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SLP. They hold a License No. 2661 (OK). The NPI Number for KRISTIN MAHATHEY (SLP) is 1073144663

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN MAHATHEY (SLP)
NPI
1073144663
Phone
(405) 503-1888
Address
801 RED OAK TER
Enumeration Date
1 February 2020
Last Update Date
1 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4058496489
Graduation Year
1993 (33 years ago)
PAC ID
7214388909
Group Practice PAC ID
2163339722
Professional Enrollment ID
I20240106000928
Address ID
OK731344030OK14300AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

114 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in OK

Provider Addresses for KRISTIN MAHATHEY (SLP)

  • 801 RED OAK TER

    EDMOND, OK 730035021

    Phone: (405) 503-1888

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240106000928IQualified Speech Language PathologistOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163339722View full group profile
NameSpecialtyState
Internal MedicineVA
-NY
Nurse PractitionerMI
Family PracticeTX
Internal MedicineNC
Physician AssistantNC
Internal Medicine, Geriatric MedicineNC
Occupational Therapist In Private PracticeNC
Internal MedicineNC
Internal MedicineNC

Reviews

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Frequently asked questions

Can I cross-check KRISTIN MAHATHEY (SLP) using NPI 1073144663?
NPI 1073144663 belongs to KRISTIN MAHATHEY (SLP); compare other details if you need extra assurance.
Would KRISTIN MAHATHEY (SLP) appear as active to a payer?
You can treat KRISTIN MAHATHEY (SLP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KRISTIN MAHATHEY (SLP)'s focus?
For KRISTIN MAHATHEY (SLP), the primary taxonomy reads as Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is KRISTIN MAHATHEY (SLP) registered?
Use Edmond, Oklahoma as the headline location for KRISTIN MAHATHEY (SLP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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