Tracy Loretha Dark, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

100036 Issued in CO

Practice address

6091 S Quebec St # 200
Centennial, CO 80111-4521

Phone

(303) 641-7280

Fax

(303) 872-3165

NPI assigned

Oct 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clear Sky Medical

  • Health Service Clinic/Center
  • Centennial, CO
  • NPI 1598189219
  NPD (past)
• Clear Sky Medical, PC

  • Family Medicine Physician
  • Centennial, CO
  • NPI 1306976519
  NPD (past)
• Roots Medical, LLC

  • Family Medicine Physician
  • Centennial, CO
  • NPI 1063805752
  NPD (past)

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1972889319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 E HAMPDEN AVE",
            "address_2": "SUITE 110",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80231",
            "telephone_number": "303-481-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6091 S QUEBEC ST # 200",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114521",
            "telephone_number": "303-641-7280",
            "fax_number": "303-872-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARK",
        "first_name": "TRACY",
        "middle_name": "LORETHA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "100036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972889319",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny Vandan Inc
• Molly Danos
• Dao Orthodontics PLLC
• Kaitlyn Darbe
• Maria Elena Darby, L.P.C.
• Kirti Dasari
• Cynthia S Daugherty, PSYD
• Genevie Davenport
• Laurie Davenport, LCSW, LAC
• McKenzie Davenport, LAC

• Nurse Practitioner in Centennial, CO
• Providers in Centennial, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.