LISA ELEANOR FAHEY-BLEICK CNP
NPI 1710929062
Nurse Practitioner - Family in Eagan, MN

Q: What is Lisa Fahey-bleick's NPI number?

The NPI number for Lisa Fahey-bleick is 1710929062. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Lisa Fahey-bleick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Fahey-bleick was last updated on February 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 12, 2006

4178 KNOB DR, SUITE A, EAGAN, MN 55122(651) 209-8640(651) 209-8690 Get Directions Write a Review

NPPES record last updated: February 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa Eleanor Fahey-bleick Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ELEANOR FAHEY-BLEICK CNP (NPI 1710929062) is an individual family provider in Eagan, Minnesota, licensed in Minnesota (R1205765) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1710929062

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA ELEANOR FAHEY-BLEICKCredential: CNP

Location Address4178 KNOB DR, SUITE AEagan, MN 55122-2888

Mailing Address14010 Cobbler AveRosemount, MN 55068-7130 · (651) 423-1738

Phone(651) 209-8640

Fax(651) 209-8690

Sole ProprietorNo

Enumeration DateJune 12, 2006

Last NPPES UpdateFebruary 10, 2009

✔ NPI 1710929062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · R1205765

4178 KNOB DR, Eagan, MN 55122

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Other Identifiers 2

Medicare PIN500003752MN

Medicare UPINS87600

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIRENE R ORANDI D.D.S.

Dentist (General Practice)

4178 KNOB DR, SUITE D
EAGAN, MN 55122

Dakota County (651) 688-3545

ELIZABETH MARIE DORN CNP

Nurse Practitioner (Family)

4178 KNOB DR, SUITE A
EAGAN, MN 55122

Dakota County (651) 209-8640

EAGAN CHILD AND FAMILY CARE, P.A.

Pediatrics

4178 KNOB DR, SUITE A
EAGAN, MN 55122

Dakota County (651) 209-8640

DR. JEFFREY ALLEN RUD DDS

Dentist

4178 KNOB DR
EAGAN, MN 55122

Dakota County (651) 452-4317

DR. ANGELA K HILO DDS

Dentist

4178 KNOB DR, SUITE C
EAGAN, MN 55122

Dakota County (651) 452-4317

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Fahey-bleick's NPI number?

The NPI number for Lisa Fahey-bleick is 1710929062. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Lisa Fahey-bleick located?

Lisa Fahey-bleick practices at 4178 Knob Dr Suite A, Eagan, MN 55122. The listed phone number is (651) 209-8640.

What is Lisa Fahey-bleick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Lisa Fahey-bleick was last updated on February 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.