Healthcare Provider Details

I. General information

NPI: 1457607681
Provider Name (Legal Business Name): ROSHAUNA LINDSEY CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2012
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

752 WAYCROSS RD STE 3
CINCINNATI OH
45240-3170
US

IV. Provider business mailing address

752 WAYCROSS RD STE 3
CINCINNATI OH
45240-3170
US

V. Phone/Fax

Practice location:
  • Phone: 513-493-2600
  • Fax: 513-993-6883
Mailing address:
  • Phone: 513-493-2600
  • Fax: 513-993-6883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberRN.396648
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberRN.396648
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN.CNP.025615
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: