Provider Demographics
NPI:1346518222
Name:SCHAUSEIL, LISA NICOLE (FNP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:NICOLE
Last Name:SCHAUSEIL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2749 SILVER FOX RUN
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-5390
Mailing Address - Country:US
Mailing Address - Phone:513-509-1042
Mailing Address - Fax:
Practice Address - Street 1:3615 SOCIALVILLE FOSTER RD STE C
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9054
Practice Address - Country:US
Practice Address - Phone:513-204-1910
Practice Address - Fax:513-548-1556
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH12951NP363LF0000X
OHCOA.12951-NP363LF0000X
OH2022092963364SP0813X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0813XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Geropsychiatric
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH062750Medicare PIN