Individual provider Active NPI

Lashika Bragg, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1295531994
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15259900 Issued in NJ
Practice address
420 E Butler Ave
Vineland, NJ 08360-7150
Phone
(856) 332-7961
NPI assigned
Feb 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15259900 NJ Primary

Addresses

Primary practice location

420 E Butler Ave
Vineland, NJ 08360-7150

Mailing address

420 E Butler Ave
Vineland, NJ 08360-7150
Phone (856) 332-7961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260109001806 NJ Practitioner - Nurse Practitioner 0840776795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senacare LLCGroup PAC ID 6103257571, 21 clinicians

Practice addresses (Care Compare)

507 Mullica Hill Rd
Mullica Hill, NJ 08062-2665
Phone (609) 455-1576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15259900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senacare, LLC CurrentSince Nov 1, 2025 Accepting new patients
Senacare, LLC CurrentSince Nov 1, 2025 Accepting new patients
JLS Medical PC Psychiatric/Mental Health CurrentSince Jan 15, 2026 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation Past Accepting new patients

Locations

1030 Kings Hwy N
Ste 210
Cherry Hill, NJ 08034
Phone (856) 321-1900

507 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (609) 455-1576

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

1511 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 513-4124

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1295531994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E BUTLER AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607150",
            "telephone_number": "856-332-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E BUTLER AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607150",
            "telephone_number": "856-332-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGG",
        "first_name": "LASHIKA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15259900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.