Individual provider Active NPI

Lisa Wahl

  • Family Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1386131407
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022618 Issued in OH
Practice address
1302 Millville Ave
Hamilton, OH 45013-3961
Phone
(513) 867-4100
NPI assigned
Apr 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.022618 OH Primary

Addresses

Primary practice location

1302 Millville Ave
Hamilton, OH 45013-3961

Mailing address

1112 Grand Blvd
Hamilton, OH 45011-4056
Phone (513) 939-7740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220110002566 OH Practitioner - Nurse Practitioner 2163814831 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Med LLC CurrentSince Jul 1, 2024 Accepting new patients
PA Post Acute Services PC CurrentSince Jan 21, 2024 Accepting new patients
Carebridge Palliative Services Inc. CurrentSince Oct 1, 2021 Accepting new patients
Hospice of Southwest Ohio, Inc. Family Medicine PastSince Oct 1, 2021 Accepting new patients
Consonant Healing Associates of de LLC Past Accepting new patients

Locations

3714 Madison Rd
Cincinnati, OH 45209
Phone (513) 204-1500

625 Probasco St
Cincinnati, OH 45220
Phone (513) 281-0745

7625 Camargo Rd
Ste 200
Cincinnati, OH 45243
Phone (513) 528-8150

2025 Wyoming Ave
Cincinnati, OH 45205
Phone (513) 251-2557

2025 Wyoming Ave
Ste 1112
Cincinnati, OH 45205

1390 King Tree Dr
Dayton, OH 45405
Phone (718) 280-5436

1302 Millville Ave
Hamilton, OH 45013
Phone (513) 867-4100

8055 Addison Rd
Masury, OH 44438
Phone (330) 448-2547

7570 Voice of America Centre Dr
West Chester, OH 45069
Phone (513) 442-3454

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1386131407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 GRAND BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450114056",
            "telephone_number": "513-939-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MILLVILLE AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450133961",
            "telephone_number": "513-867-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.