Active NPI
Deborah M Myhre
- Speech-Language Pathologist
- Big Lake, MN
National Provider Identifier
1003723263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 351442
- Practice address
- 601 Minnesota Ave
Big Lake, MN 55309-8802 - Phone
- (763) 262-2567
- NPI assigned
- Aug 25, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 351442 | MN | Primary |
Addresses
Primary practice location
601 Minnesota Ave
Big Lake, MN 55309-8802
Mailing address
4420 Tyler St NE
Minneapolis, MN 55421-3245
Phone (763) 234-1090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1003723263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4420 TYLER ST NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554213245",
"telephone_number": "763-234-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 MINNESOTA AVE",
"city": "BIG LAKE",
"state": "MN",
"postal_code": "553098802",
"telephone_number": "763-262-2567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYHRE",
"first_name": "DEBORAH",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "351442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Big Lake, MN
- Modern Dental Professionals MN PC
- Monticello Dental Group
- Annika More, LGSW, MASTER OF SW
- Rachelle Leigh Morrison-Weseloh, LPCC, ATR-BC
- Paige Marie Myhra, MA, LADC
- Diane Lisa Neal, M.S. , LPCC
- Sylvia Kooyman Nelson, MT
- Sean Nielsen
- Northstar Chiropractic & Wellness, P. a.
- Nystrom Residential Treatment, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.