Lyerly Burke Christensen, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A2395 Issued in MS

Practice address

107 Millsaps Dr
Hattiesburg, MS 39402-1348

Phone

(601) 268-5137

Fax

(601) 268-5138

NPI assigned

Apr 11, 2008

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ear,Nose & Throat Surgical Clinic of South Central Ms

  • Otolaryngology/Facial Plastic Surgery Physician
  • Laurel, MS
  • NPI 1033312772

  MS

  Medicare reassignment Care Compare group NPD

Specialty

Qualified Audiologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear,Nose and Throat Surgical Clinic of South Central Ms 6 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2008.

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1801069745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MILLSAPS DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021348",
            "telephone_number": "601-268-5137",
            "fax_number": "601-268-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MILLSAPS DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021348",
            "telephone_number": "601-268-5137",
            "fax_number": "601-268-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "LYERLY",
        "middle_name": "BURKE",
        "name_prefix": "Mrs.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A2395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Childs, PA-C
• Swetha Chiluka
• Chiropractic Care of Hattiesburg LLC
• Ashley Nicole Chism, PMHNP-BC
• Kimberly Grimsley Christen, PHARM.D.
• James Nicholas Christofidis
• Michelle Theresa Hasenkampf Christofidis, MSCCCSLP
• Ana M Chua
• Christopher Clapton, LAT, ATC, NASM-PES
• Dedra Clark-Allen, M.A., CCC-SLP

• All providers in Hattiesburg, MS
• Audiologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.