Active NPI
Lanesha Bracy, NP
- Nurse Practitioner
- Willow Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95010412
- Practice address
- 38883 Hwy 299
Willow Creek, CA 95573 - Phone
- (530) 629-3111
- Fax
- (530) 629-3122
- NPI assigned
- Feb 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F346161-01 | NY | |
| Family Nurse Practitioner | 363LF0000X | AP07155 | LA | |
| Nurse Practitioner | 363L00000X | 95010412 | CA | Primary |
Addresses
Primary practice location
38883 Hwy 299
Willow Creek, CA 95573
Mailing address
670 9TH St Ste 203
Arcata, CA 95521-6249
Phone (707) 826-8633
Other names 1
- Lanesha Tilena Thomas Bracy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, CA, FL, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130724000510 | AL | Practitioner - Nurse Practitioner | 8426299025 | Reassigns benefits to 2 organizations |
| I20190620003547 | CA | Practitioner - Nurse Practitioner | 8426299025 | Reassigns benefits to 1 organization |
| I20220226000064 | FL | Practitioner - Nurse Practitioner | 8426299025 | |
| I20221202001162 | OR | Practitioner - Nurse Practitioner | 8426299025 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP07155 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asher Community Health Center | Current | Accepting new patients | |
| Franklin Primary Health Center, Inc | Current | Accepting new patients | |
| Carehalo Alabama LLC | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Franklin Primary Health Center Inc. | Current | Accepting new patients | |
| Franklin Primary Health Center, Inc | Current | Accepting new patients | |
| Martha'S Vineyard Hospital | Nurse Practitioner | Current | Accepting new patients |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Asher Community Health Center | Current | Accepting new patients | |
| Asher Community Health Center | Current | Accepting new patients |
Locations
1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646
1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603
1275 8th St
Arcata, CA 95521
670 9th St
Ste 203
McKinleyville, CA 95521
5200 Dallas Hwy
Ste 200243
Powder Springs, GA 30127
Phone (770) 364-2184
Interoperability endpoints
- bracy.lanesha.mvh@direct.partners.masshiway.net
Organizations & group practices 11
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.
-
- Federally Qualified Health Center (FQHC)
- Crescent City, CA
- NPI 1497840656
CA
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1679532303
AL
-
- Federally Qualified Health Center (FQHC)
- Willow Creek, CA
- NPI 1730330739
-
- Federally Qualified Health Center (FQHC)
- Eureka, CA
- NPI 1831713452
-
- Primary Care Clinic/Center
- Fossil, OR
- NPI 1033989439
-
- Federally Qualified Health Center (FQHC)
- Fossil, OR
- NPI 1598928004
-
- Federally Qualified Health Center (FQHC)
- Evergreen, AL
- NPI 1346733821
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1710117213
-
- Obstetrics & Gynecology Physician
- Oak Bluffs, MA
- NPI 1962465500
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1447590385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 9TH ST STE 203",
"city": "ARCATA",
"state": "CA",
"postal_code": "955216249",
"telephone_number": "707-826-8633",
"fax_number": "707-826-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38883 HWY 299",
"city": "WILLOW CREEK",
"state": "CA",
"postal_code": "95573",
"telephone_number": "530-629-3111",
"fax_number": "530-629-3122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACY",
"first_name": "LANESHA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-28",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F346161-01",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP07155",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95010412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LANESHA",
"last_name": "THOMAS BRACY",
"middle_name": "TILENA",
"credential": "NP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Willow Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.