Organization Active NPI

Sky Island Community Health LLC

  • Family Nurse Practitioner
  • Oracle, AZ
National Provider Identifier
1477457679
Registry record updated Oct 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SKY ISLAND COMMUNITY HEALTH LLC
Practice address
439 N John Adams St
Oracle, AZ 85623-0549
Phone
(520) 440-4172
NPI assigned
Oct 3, 2026
Last updated
Oct 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2026

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

Authorized official

Name
Kathryn Lynn Clarke, NP
Title
Founder
Phone
(520) 440-4172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

439 N John Adams St
Oracle, AZ 85623-0549

Mailing address

PO Box 5392
Oracle, AZ 85623-5392
Phone (520) 440-4172

NPI Registry JSON

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

{
    "created_epoch": "1790985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790985600000",
    "number": "1477457679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5392",
            "city": "ORACLE",
            "state": "AZ",
            "postal_code": "856235392",
            "telephone_number": "520-440-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 N JOHN ADAMS ST",
            "city": "ORACLE",
            "state": "AZ",
            "postal_code": "856230549",
            "telephone_number": "520-440-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY ISLAND COMMUNITY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-03",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "520-440-4172",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oracle, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.