Lisa Lynette Brailey, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002103156 Issued in VA

Practice address

321 Old Course Loop
Blythewood, SC 29016-8936

Phone

(516) 642-8081

NPI assigned

Aug 3, 2026

Last updated

Aug 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1851214225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 OLD COURSE LOOP",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168936",
            "telephone_number": "516-642-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 OLD COURSE LOOP",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168936",
            "telephone_number": "516-642-8081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1122 Lady St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292013218",
            "country_code": "US",
            "telephone_number": "803-272-1038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAILEY",
        "first_name": "LISA",
        "middle_name": "LYNETTE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "0002103156",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "VA",
            "license": "0002103156",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "VA",
            "license": "0002103156",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002103156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Caitlin Williams Boyles, DPT
• Edward Demond Bracey
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• Josie Gandy Drew Britt, MSP CCC-SLP
• Donald S Brown
• Rico Eugene Brown, L.C.S.W
• Sabrina F Brown, RN

• Licensed Practical Nurse in Blythewood, SC
• Providers in Blythewood, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.