Katherine Rivers Graves, AU.D.
Individual provider Active NPI Audiologist · Southaven, MS
NPI 1104437037 · NPPES record last updated Jul 29, 2026
Key facts
- NPI
- 1104437037
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 4658 (MS)
- Practice address
- 7075 Golden Oaks Loop W Ste 11
Southaven, MS 38671-9012 - Phone
- (662) 349-9920
- NPI assigned
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4658 | MS | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 4658 | MS | Yes |
Addresses
Primary practice location
7075 Golden Oaks Loop W Ste 11
Southaven, MS 38671-9012
Mailing address
2861 Josephine Rd
Tunica, MS 38676-9723
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.