Provider Demographics
NPI:1942794235
Name:SCHMID, RACHEL ANN I (RN)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:SCHMID
Suffix:I
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-1607
Mailing Address - Country:US
Mailing Address - Phone:513-836-8230
Mailing Address - Fax:513-968-3023
Practice Address - Street 1:757 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-1607
Practice Address - Country:US
Practice Address - Phone:513-836-8230
Practice Address - Fax:513-968-3023
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X
OHRN.451471163W00000X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No163W00000XNursing Service ProvidersRegistered Nurse