Individual provider Active NPI

Lisa D Foley, CFNP

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1801009592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R701327 Issued in MS
Practice address
670 Crossover Rd
Tupelo, MS 38801-4944
Phone
(662) 844-8414
Fax
(662) 844-8275
NPI assigned
May 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R701327 MS Primary

Addresses

Primary practice location

670 Crossover Rd
Tupelo, MS 38801-4944

Mailing address

PO Box 4087
Tupelo, MS 38803-4087
Phone (662) 844-8414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151215001554 MS Practitioner - Nurse Practitioner 2466671110 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R701327MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Family Current Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Dec 28, 2015 Accepting new patients
North Mississippi Electrophysiology, LLC CurrentSince Aug 1, 2019 Accepting new patients
North Mississippi Medical Center Family CurrentSince Oct 13, 2015 Accepting new patients
Northeast Mental Health-Mental Retardation Commission Current Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Dec 28, 2015 Accepting new patients
Northeast Mental Health-Mental Retardation Commission CurrentSince Jan 3, 2023 Accepting new patients
Signify Health, LLC CurrentSince Jan 7, 2022 Accepting new patients
Northeast Mental Health/Mental Retardation Commission CurrentSince Jan 3, 2023 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Oct 13, 2015 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Clinics Inc Past Accepting new patients
Mark Devin Shepherd Past Accepting new patients

Locations

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

2434 S Eason Blvd
Tupelo, MS 38804
Phone (662) 640-4595

410 Council Cir
Tupelo, MS 38801
Phone (662) 377-2500

4579 S Eason Blvd
Ste A
Tupelo, MS 38801
Phone (662) 377-6161

499 Gloster Creek Vlg
Ste A2
Tupelo, MS 38801
Phone (662) 620-6800

499 Gloster Creek Vlg
Ste A3
Tupelo, MS 38801
Phone (662) 640-4595

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

830 S Gloster St
Fl 3
Tupelo, MS 38801
Phone (662) 377-7170

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801009592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4087",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388034087",
            "telephone_number": "662-844-8414",
            "fax_number": "662-844-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 CROSSOVER RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014944",
            "telephone_number": "662-844-8414",
            "fax_number": "662-844-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R701327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.