Kathryn Tidaback, M.S. CCC-SLP
NPI 1821614934 · Speech-Language Pathologist · Capitola, CA
Kathryn Tidaback, M.S. CCC-SLP is a Speech-Language Pathologist provider in Capitola, CA (NPI 1821614934).
Provider details
- NPI number
- 1821614934
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 27759 (CA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1031 Brommer StSanta Cruz, CA 95062-2807Phone: (520) 780-0666
Registry dates
- Enumerated
- 2020-06-24
- Last updated
- 2020-06-24
- Certified
- 2020-06-24
Frequently asked questions
- What is Kathryn Tidaback's NPI number?
- Kathryn Tidaback's National Provider Identifier (NPI) is 1821614934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathryn Tidaback's specialty?
- Kathryn Tidaback is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Kathryn Tidaback located?
- Kathryn Tidaback's practice location on file with NPPES is 820 Bay Ave Ste 212, Capitola, CA 95010-2103.
- What is Kathryn Tidaback's phone number?
- The practice phone number listed in the NPPES registry for Kathryn Tidaback is (831) 854-2060.
- Is Kathryn Tidaback's NPI active?
- Yes — Kathryn Tidaback's NPI (1821614934) is active in the NPPES registry as of the last update on 2020-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.