Lisa Simone Foo, PHD,LP

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

701 Park Ave South
Hennepin County Medical Center/Revenue Management
Minneapolis, MN 55415

Phone

(612) 873-3044

Fax

(612) 630-8242

NPI assigned

Nov 6, 2008

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1740434570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "address_2": "HENNEPIN COUNTY MEDICAL CENTER/REVENUE MANAGEMENT",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-3044",
            "fax_number": "612-630-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PARK AVE SOUTH",
            "address_2": "HENNEPIN COUNTY MEDICAL CENTER/REVENUE MANAGEMENT",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55415",
            "telephone_number": "612-873-3044",
            "fax_number": "612-630-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOO",
        "first_name": "LISA",
        "middle_name": "SIMONE",
        "credential": "PHD,LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenesis Hope Fonder, CHW
• Yaneve N Fonge
• Mercedes Fonseca Cordoba, PHYSICAL THERAPIST
• Patricia Lynn Fontaine, M.D.
• Lauren Fontana, D.O.
• Faye Katherine Foote, MA, LPCC
• Jose Antonio Foppiani, MD
• Forbes Dental Care, P.a.
• Michael Edward Forbes, DDS
• Sierra Ford-Washington, MSW, LGSW

• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.