Lisa D Foley, CFNP
Individual provider Active NPI Family Nurse Practitioner · Tupelo, MS
NPI 1801009592 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801009592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R701327 (MS)
- Practice address
- 670 Crossover Rd
Tupelo, MS 38801-4944 - Phone
- (662) 844-8414
- Fax
- (662) 844-8275
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151215001554 | MS | Practitioner - Nurse Practitioner | 2466671110 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R701327 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Mental Health/Mental Retardation Commission | Current |
Accepting new patients | |
| North Mississippi Medical Center | Family | Current |
Accepting new patients |
| North Mississippi Medical Clinics Inc | Family | Current | Accepting new patients |
| North Mississippi Medical Clinics Inc | Current |
Accepting new patients | |
| North Mississippi Medical Clinics Inc | Current |
Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current |
Accepting new patients | |
| North Mississippi Electrophysiology, LLC | Current |
Accepting new patients | |
| Northeast Mental Health-Mental Retardation Commission | Current | Accepting new patients | |
| Signify Health, LLC | Current |
Accepting new patients | |
| Northeast Mental Health-Mental Retardation Commission | Current |
Accepting new patients | |
| Mark Devin Shepherd | Past | Accepting new patients |
Locations
460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
499 Gloster Creek Vlg
Ste A3
Tupelo, MS 38801
Phone (662) 640-4595
845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025
499 Gloster Creek Vlg
Ste A2
Tupelo, MS 38801
Phone (662) 620-6800
410 Council Cir
Tupelo, MS 38801
Phone (662) 377-2500
4579 S Eason Blvd
Ste A
Tupelo, MS 38801
Phone (662) 377-6161
830 S Gloster St
Fl 3
Tupelo, MS 38801
Phone (662) 377-7170
2434 S Eason Blvd
Tupelo, MS 38804
Phone (662) 640-4595
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R701327 | MS | Yes |
Addresses
Primary practice location
670 Crossover Rd
Tupelo, MS 38801-4944
Mailing address
PO Box 4087
Tupelo, MS 38803-4087
Phone (662) 844-8414
Other providers in Tupelo, MS
- Courtney Jade Floyd
- Kevin Floyd
- Molli Floyd
- Lawanda Deshae Fluker
- Maegan Gilliland Flynn
- Sidney Forbus
- Ford Physical Therapy PLLC
- Dorothy Elder Ford
- Ron C Ford
- Amy M Forrest
All providers in Tupelo, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.