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

Kelly Rackham, FNP-C

Individual provider Family Nurse Practitioner · NPI 1801497284

Kelly Rackham, FNP-C is a Family Nurse Practitioner in Vista, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Vale Terrace Dr
Vista, CA 92084-5218
Phone: (844) 308-5003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9850 Genesee Ave, La Jolla, CA 92037-1224 — (858) 864-9800

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95015717 (CA)

Record details

NPI number1801497284
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 3, 2020
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023

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