Active NPI
Kristin Lutz, CCC-SLP
- Speech-Language Pathologist
- San Diego, CA
National Provider Identifier
1659673879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 35178
- Practice address
- 11778 Cypress Canyon Rd
San Diego, CA 92131-3743 - Phone
- (858) 693-8593
- NPI assigned
- Nov 19, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 35178 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | LL60188190 | WA |
Addresses
Primary practice location
11778 Cypress Canyon Rd
San Diego, CA 92131-3743
Mailing address
11778 Cypress Canyon Rd
San Diego, CA 92131-3743
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7018120 | Medicaid | WA |
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 |
|---|---|---|---|
| 35178 | CA | MD | Psychologist |
| LL60188190 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1659673879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11778 CYPRESS CANYON RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11778 CYPRESS CANYON RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313743",
"telephone_number": "858-693-8593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "KRISTIN",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-19",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "35178",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL60188190",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7018120",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.