Healthcare Provider Details

I. General information

NPI: 1700735198
Provider Name (Legal Business Name): KRISTI CREIGHTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22580 KINGSTON LN
GRASS VALLEY CA
95949-7706
US

IV. Provider business mailing address

13205 HOOT OWL RD
NEVADA CITY CA
95959-9736
US

V. Phone/Fax

Practice location:
  • Phone: 530-268-2800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: