Active NPI
Elizabeth Dyrhaug
- Speech-Language Pathologist
- Starkville, MS
National Provider Identifier
1902538788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S4947
- Practice address
- 1411 Highway 389
Starkville, MS 39759-8451 - Phone
- (662) 769-4888
- NPI assigned
- Jun 29, 2022
- Sex
- Female
- Sole proprietor
- No
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 | S4947 | MS | Primary |
Addresses
Primary practice location
1411 Highway 389
Starkville, MS 39759-8451
Mailing address
4120 Mississippi Ave
Columbus, MS 39705-7513
Phone (704) 840-3523
Other practice location 1
425 Hospital Dr Ste 6A
Columbus, MS 39705-1901
Phone (662) 570-1684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4947 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OT 4 Kidz, LLC | Current | Accepting new patients | |
| Children's Rehab | Speech-Language Pathologist | Past | Accepting new patients |
Locations
1411 Highway 389
Starkville, MS 39759
Phone (662) 769-4888
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Starkville, MS
- NPI 1558696658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1902538788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 MISSISSIPPI AVE",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397057513",
"telephone_number": "704-840-3523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 HIGHWAY 389",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397598451",
"telephone_number": "662-769-4888"
}
],
"practiceLocations": [
{
"address_1": "425 Hospital Dr Ste 6A",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "MS",
"postal_code": "397051901",
"country_code": "US",
"telephone_number": "662-570-1684",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYRHAUG",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S4947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Starkville, MS
- Drayer Physical Therapy Mississippi LLC
- Shawnna Driskill, RN, CLC
- Drumheller Psychological Services, Inc.
- Robyn Odom Duhon, M.S., CCC-SLP
- Brandance G Dyar, P-LPC
- Taylor M Earnest, M.S., CCC-SLP
- William P. Eastman, D.D.S.
- Kristin G Edelblute, LPC, NCC
- Henry L Edmondson, MD
- Effective Freight Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.