Basic Information
Provider Information
NPI: 1801432562
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHMITT
FirstName: CHRISTINA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 615 ELSINORE PL STE 200
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452021457
CountryCode: US
TelephoneNumber: 8335104357
FaxNumber: 8664602997
Practice Location
Address1: 201 N YELLOW SPRINGS ST
Address2:  
City: SPRINGFIELD
State: OH
PostalCode: 455042650
CountryCode: US
TelephoneNumber: 8335104357
FaxNumber: 8664602997
Other Information
ProviderEnumerationDate: 11/18/2019
LastUpdateDate: 12/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN.349523OHY Nursing Service ProvidersRegistered Nurse 

No ID Information.


Home