Active NPI
Lisa Dexter
- Psychiatric/Mental Health Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1225899784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0037451
- Practice address
- 11804 Conrey Rd Ste 100
Cincinnati, OH 45249-1076 - Phone
- (513) 984-1000
- NPI assigned
- Jan 22, 2024
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0037451 | OH | Primary |
| Registered Nurse | 163W00000X | 439318 | OH |
Addresses
Primary practice location
11804 Conrey Rd Ste 100
Cincinnati, OH 45249-1076
Mailing address
9902 Walnutridge CT
Cincinnati, OH 45242-5418
Phone (925) 357-0587
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 |
|---|---|---|---|
| 439318 | OH | MD | Registered Nurse |
| 0037451 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1225899784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9902 WALNUTRIDGE CT",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452425418",
"telephone_number": "925-357-0587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11804 CONREY RD STE 100",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452491076",
"telephone_number": "513-984-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEXTER",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-22",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "0037451",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "439318",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.