Healthcare Provider Details

I. General information

NPI: 1912258963
Provider Name (Legal Business Name): LISA MICHELLE BYRD ANP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2012
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8240 NORTHCREEK DR STE 2000
CINCINNATI OH
45236-0709
US

IV. Provider business mailing address

8240 NORTHCREEK DR STE 2000
CINCINNATI OH
45236-0709
US

V. Phone/Fax

Practice location:
  • Phone: 513-481-3400
  • Fax:
Mailing address:
  • Phone: 513-481-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number13785-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: