Organization Active NPI

Dark Sky Assist

  • Family Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1447849963
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DARK SKY ASSIST
Practice address
1475 Forest VW W
Prescott, AZ 86305-5118
Phone
(928) 310-6333
NPI assigned
Jan 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Elisa A Venezia, FNP/RNFANPI 1154929776
Title
FNP
Phone
(928) 310-6333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1475 Forest VW W
Prescott, AZ 86305-5118

Mailing address

1475 Forest VW W
Prescott, AZ 86305-5118
Phone (928) 310-3333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1447849963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 FOREST VW W",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863055118",
            "telephone_number": "928-310-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 FOREST VW W",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863055118",
            "telephone_number": "928-310-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARK SKY ASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "VENEZIA",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "928-310-6333",
        "authorized_official_credential": "FNP/RNFA"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.