Alexzandrya Rackley

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

11041 Beach Blvd # 71
Jacksonville, FL 32246-4809

Phone

(904) 872-0455

NPI assigned

Apr 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1982347423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 LEONID RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184700",
            "telephone_number": "904-872-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11041 BEACH BLVD # 71",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464809",
            "telephone_number": "904-872-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKLEY",
        "first_name": "ALEXZANDRYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennett Rachal, MS
• Kristina Rached, M.D.
• Rachel Hollenbach, LLC
• Rachelle Homehealth Care LLC
• Loudine Racius, ARNP
• Christopher Thomas Rackley, PSYD
• Brittany Rada, DO
• Christian Alexander Rada, DO
• Rawad Raid Radaa, MD
• Jeffrey Paul Radabaugh, MD

• Prosthetist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Prosthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.