Organization Active NPI

Upsidian Care Network, LLC

  • Doula
  • Minneapolis, MN
National Provider Identifier
1124922406
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
UPSIDIAN CARE NETWORK, LLC
Practice address
1128 Harmon PL Ste 200
Minneapolis, MN 55403-2074
Phone
(612) 552-3066
NPI assigned
Oct 8, 2026
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Yaneve Fonge, MD
Title
Founder and Ceo
Phone
(203) 668-9057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X NU Primary

Addresses

Primary practice location

1128 Harmon PL Ste 200
Minneapolis, MN 55403-2074

Mailing address

200 University Ave SE Unit 2403
Minneapolis, MN 55414-2475
Phone (612) 552-3066

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1124922406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNIVERSITY AVE SE UNIT 2403",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142475",
            "telephone_number": "612-552-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 HARMON PL STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032074",
            "telephone_number": "612-552-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSIDIAN CARE NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "FONGE",
        "authorized_official_first_name": "YANEVE",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "203-668-9057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.