LISA WOODGATE NPI 1194876250

Speech-Language Pathologist in Wittmann, AZ

NPI 1194876250 Individual Female Speech-Language Pathologist

About LISA WOODGATE

Lisa Woodgate is a provider established in Wittmann, Arizona and her medical specialization is speech-language pathologist. The NPI number of Lisa Woodgate is 1194876250 and was assigned on January 2007. The practitioner's primary taxonomy code is 235Z00000X with license number SLP2110 (AZ). The provider is registered as an individual and her NPI record was last updated 14 years ago.

Lisa Woodgate is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1194876250

Provider Name LISA WOODGATE
Provider Location Address21419 W DOVE VALLEY RD WITTMANN, AZ 85361
Provider Mailing Address22850 W SIERRA RIDGE WAY WITTMANN, AZ 85361
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date01-16-2007
Last Update Date07-09-2007


Primary Taxonomy

Taxonomy Code235Z00000X
ClassificationSpeech-Language Pathologist
TypeSpeech, Language and Hearing Service Providers
License No.SLP2110
License StateAZ
Taxonomy DescriptionThe speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Business Address

LISA WOODGATE
21419 W DOVE VALLEY RD
WITTMANN, AZ
ZIP 85361
Phone: (623) 388-2321

Get Directions


Mailing Address

LISA WOODGATE
22850 W SIERRA RIDGE WAY
WITTMANN, AZ
ZIP 85361
Phone:



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistSA 633FLNo

Taxonomy Description: the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
814485MEDICAID (05)AZ

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124203310 CHRISTINE FLORENDO RN
Individual
Registered Nurse (School)21419 W DOVE VALLEY RD
WITTMANN, AZ 85361
(623) 388-2321
1871762609 LISA MICHELLE ROTH
Individual
Specialist/Technologist (Speech-Language Assistant)21419 W DOVE VALLEY RD
WITTMANN, AZ 85361
(623) 388-2321

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.