Lisa Fox, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R208055-2 Issued in MN

Practice address

17676 Formosa Ave
Farmington, MN 55024-7808

Phone

(952) 353-6389

NPI assigned

Feb 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1396245528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 YEW PT",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221892",
            "telephone_number": "952-353-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17676 FORMOSA AVE",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550247808",
            "telephone_number": "952-353-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R208055-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Alan Fenske, DC
• Fink Family Chiropractic, PA
• Amanda Fitzgerald, SLP
• Barbara Jean Flaherty
• Gabrielle Fox
• Rose Froehle
• Tessa Fultz, LICSW
• Futures of Tomorrow LLC
• Jessica Elizabeth Gallagher, NP
• Pamela Ann Gantner

• Registered Nurse in Farmington, MN
• Providers in Farmington, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.