Lisa Niguidula, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN595743 Issued in CA

Practice address

10550 Galena Canyon Rd
San Diego, CA 92127-4459

Phone

(858) 205-5843

NPI assigned

Jan 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lisa Marie Holzedl Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1427647981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 GALENA CANYON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921274459",
            "telephone_number": "858-205-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 GALENA CANYON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921274459",
            "telephone_number": "858-205-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGUIDULA",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN595743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DRIVERS LICENSE",
            "identifier": "B3597919",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HOLZEDL",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vishal Nigam, M.D.
• Night and Day San Diego
• Tabassom Nightingale
• Samantha Barbara Nigrelli-Barrientos, MSN, CPNP-PC
• John J Nigro, M.D.
• Nihon Clinic SD, a Professional Corporation
• Elizabeth Niiazbek Kyzy
• Sohn Nijor
• Anamika Nijum, PHARMD
• Jasmine Nikakhtar, PT, DPT

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.