Lisa Ellen Udwin, MA CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4445 Issued in CA

Practice address

700 Garden View CT
Ste 201 a
Encinitas, CA 92024-2478

Phone

(760) 815-8101

NPI assigned

Feb 28, 2006

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 names 1

• Lisa Home Udwin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1699742536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 OCEAN VIEW AVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242627",
            "telephone_number": "760-815-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT",
            "address_2": "STE 201 A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242478",
            "telephone_number": "760-815-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDWIN",
        "first_name": "LISA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "MA CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "4445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "UDWIN",
            "middle_name": "HOME",
            "credential": "SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katerina Tsoucalas, L.AC.
• Michelle A. Turk, N.P.
• Karen Ann Turner-Schlegel, DPT
• Paul Joel Turro, DDS
• Ucsd Center for Surgery of Encinitas, L.P.
• Ujwala Rajgopal, MD Professional Corporation
• Dane Undheim, MT
• United Surgery Center Encinitas, LLC (United Surgery Center-Encinitas)
• Darshna Upadhyaya
• James John Urbanic, M.D.

• Speech-Language Pathologist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.