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

Kristy Jean Fackrell

Individual provider Case Manager/Care Coordinator · NPI 1750977385

Kristy Jean Fackrell is a Case Manager/Care Coordinator in Diamond Springs, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

768 Pleasant Valley Rd
Diamond Springs, CA 95619-9260
Phone: (530) 621-6659
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1750977385
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 17, 2020
Last updated in NPPESJune 16, 2023
Certification dateJune 16, 2023

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