NPIMap

Organization Active NPI

Elizabeth G. Dyer & Associates, LLC

  • Speech-Language Pathologist
  • Surry, ME
National Provider Identifier
1780767905
Registry record updated Nov 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP796 Issued in ME
Legal business name
ELIZABETH G. DYER & ASSOCIATES, LLC
Practice address
1372 Newbury Neck Rd
Surry, ME 04684-3819
Phone
(207) 356-8211
NPI assigned
Oct 23, 2006
Last updated
Nov 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth G Dyer, CCC-SLPNPI 1669664819
Title
Member
Phone
(207) 356-8211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP1609 ME
Speech-Language Pathologist 235Z00000X SP796 ME Primary

Addresses

Primary practice location

1372 Newbury Neck Rd
Surry, ME 04684-3819

Mailing address

1372 Newbury Neck Rd
Surry, ME 04684-3819
Phone (207) 356-8211

Other identifiers 6

IdentifierTypeStateIssuer
432438099MedicaidME
200860099MedicaidME
409730000MedicaidME
433695399MedicaidME
200860000MedicaidME
279150099MedicaidME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257033600000",
    "number": "1780767905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 NEWBURY NECK RD",
            "city": "SURRY",
            "state": "ME",
            "postal_code": "046843819",
            "telephone_number": "207-356-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 NEWBURY NECK RD",
            "city": "SURRY",
            "state": "ME",
            "postal_code": "046843819",
            "telephone_number": "207-356-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH G. DYER & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-11-01",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "207-356-8211",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1609",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432438099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200860099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409730000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433695399",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200860000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279150099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surry, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.