Individual provider Active NPI

Elizabeth Dyrhaug

  • Speech-Language Pathologist
  • Starkville, MS
National Provider Identifier
1902538788
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S4947 Issued in MS
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

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
S4947MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
OT 4 Kidz, LLC CurrentSince Sep 3, 2025 Accepting new patients
Children's Rehab Speech-Language Pathologist PastSince Jul 3, 2022 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.

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

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.

Verify at the official NPI Registry.