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Deactivated NPI 1689975468 Deactivated / Inactive NPI Female Practitioner

Lisa Marie Nickell , RN

Registered Nurse • Centerville, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Nickell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 09, 2010
NPI Deactivation Date June 17, 2021
Total Practice Duration ~11 Years of Practice (2010 – 2021)

Professional Overview & Biography Verified Profile Summary

Lisa Nickell, RN was a registered Registered Nurse practicing in Centerville, OH. Throughout an active medical career spanning 11 years, Lisa Nickell provided care at the practice location at 8355 PARAGON RD until profile deactivation on 2021-06-17.

Practice Location & Contact Primary Location

Practice Address

8355 Paragon Rd

Centerville, OH 454582136

Telephone 9374330953

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Centerville, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Centerville, OH (9958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License OH RN.315548

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 17, 2021

Record deactivated on June 17, 2021

NPI Profile Active November 11, 2010

NPI status registered as active in NPPES database

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Updated Practice Location November 11, 2010

Registered at 8355 PARAGON RD, CENTERVILLE, OH 454582136 (Tel: 9374330953)

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Updated Business Mailing Address November 11, 2010

Registered at 8355 PARAGON RD, CENTERVILLE, OH 454582136 (Tel: 9374330953)

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Provider Name / Credentials Updated November 11, 2010

Recorded as LISA NICKELL, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2010

Registered Nurse (License #RN.315548 in OH)

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Initial NPI Registration & Enumeration November 09, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689975468
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2010
Last Update: November 11, 2010
Deactivation Date: June 17, 2021

Mailing Address

8355 Paragon Rd

Centerville, OH 454582136

Phone: 9374330953

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.