Individual provider Active NPI

Kristy Diane Rackliffe

  • Rehabilitation Practitioner
  • Grass Valley, CA
National Provider Identifier
1952740839
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
988 McCourtney Rd
Grass Valley, CA 95949-7400
Phone
(510) 482-2244
Fax
(510) 530-2047
NPI assigned
Jun 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X CA Primary

Addresses

Primary practice location

988 McCourtney Rd
Grass Valley, CA 95949-7400

Mailing address

988 McCourtney Rd
Grass Valley, CA 95949-7400
Phone (510) 482-2244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1952740839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 MCCOURTNEY RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959497400",
            "telephone_number": "510-482-2244",
            "fax_number": "510-530-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 MCCOURTNEY RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959497400",
            "telephone_number": "510-482-2244",
            "fax_number": "510-530-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKLIFFE",
        "first_name": "KRISTY",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.