Individual provider Active NPI

Lacey Monique Townsend, PA-C

  • Physician Assistant
  • Redding, CA
National Provider Identifier
1578842100
Registry record updated Aug 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21753 Issued in CA
Practice address
2891 Churn Creek Rd Ste a
Redding, CA 96002-1148
Phone
(530) 221-7474
Fax
(530) 226-6329
NPI assigned
Aug 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21753 CA Primary

Addresses

Primary practice location

2891 Churn Creek Rd Ste a
Redding, CA 96002-1148

Mailing address

2891 Churn Creek Rd Ste a
Redding, CA 96002-1148
Phone (530) 221-7474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20121228000222 CA Practitioner - Physician Assistant 5597918482 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Regional Medical Group Inc CurrentSince Feb 25, 2022 Accepting new patients
Redding Rancheria Current Accepting new patients
Orna Gil MD Inc Current Accepting new patients

Locations

1801 W Olympic Blvd
#1640
Pasadena, CA 91199

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

1441 Liberty St
Redding, CA 96001
Phone (530) 224-2700

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

Interoperability endpoints

  • Direct secure messaging: lacey.townsend.p3@direct.smmg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1313193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313193600000",
    "number": "1578842100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 CHURN CREEK RD STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021148",
            "telephone_number": "530-221-7474",
            "fax_number": "530-226-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 CHURN CREEK RD STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021148",
            "telephone_number": "530-221-7474",
            "fax_number": "530-226-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "LACEY",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-13",
        "last_updated": "2011-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.