Individual provider Active NPI

Lanesha Bracy, NP

  • Nurse Practitioner
  • Willow Creek, CA
National Provider Identifier
1447590385
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95010412 Issued in CA
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

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CA, FL, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
AP07155LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asher Community Health Center CurrentSince Oct 3, 2022 Accepting new patients
Franklin Primary Health Center, Inc CurrentSince May 1, 2013 Accepting new patients
Carehalo Alabama LLC CurrentSince Aug 4, 2020 Accepting new patients
Open Door Community Health Centers CurrentSince Apr 28, 2019 Accepting new patients
Franklin Primary Health Center Inc. Current Accepting new patients
Franklin Primary Health Center, Inc CurrentSince May 1, 2013 Accepting new patients
Martha'S Vineyard Hospital Nurse Practitioner Current Accepting new patients
Open Door Community Health Centers CurrentSince Apr 28, 2019 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Asher Community Health Center CurrentSince Oct 3, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.