Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Tiniya Brandy Lacy, NP

Individual provider Registered Nurse · NPI 1649002064

MS. Tiniya Brandy Lacy, NP is a Nurse Practitioner in Apple Valley, California. Qualified in 2024, 2 years ago. Practices with Optima Health Corp, a 31-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

18522 US Highway 18 Ste 102
Apple Valley, CA 92307-2321
Phone: (760) 242-7707
Fax: (760) 242-1133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95039016 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95046480 (CA)

Record details

NPI number1649002064
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 14, 2024
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Optima Health Corp — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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