Organization Active NPI

Forward Healthy Lifestyles

  • Nurse Practitioner
  • Pewaukee, WI
National Provider Identifier
1053263764
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
FORWARD HEALTHY LIFESTYLES
Practice address
145 W Wisconsin Ave Unit 3
Pewaukee, WI 53072-3437
Phone
(262) 313-8375
NPI assigned
Feb 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Lindsay A Carmody, APNP
Title
Apnp
Phone
(262) 313-8375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

145 W Wisconsin Ave Unit 3
Pewaukee, WI 53072-3437

Mailing address

N112W15237 Mequon Rd Ste 100
Germantown, WI 53022-3466
Phone (262) 313-8375

Other practice location 1

3970 N Oakland Ave Ste 502
Shorewood, WI 53211-2265
Phone (262) 313-8375

National Provider Directory

National Provider Directory
Tax ID family
Forward Healthy Lifestyles3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

N112W15237 Mequon Rd
Ste 100
Germantown, WI 53022
Phone (262) 313-8375

145 W Wisconsin Ave
Unit 3
Pewaukee, WI 53072
Phone (262) 313-8375

NPI Registry JSON

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1053263764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N112W15237 MEQUON RD STE 100",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223466",
            "telephone_number": "262-313-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W WISCONSIN AVE UNIT 3",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723437",
            "telephone_number": "262-313-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3970 N Oakland Ave Ste 502",
            "address_purpose": "LOCATION",
            "city": "Shorewood",
            "state": "WI",
            "postal_code": "532112265",
            "country_code": "US",
            "telephone_number": "262-313-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORWARD HEALTHY LIFESTYLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "CARMODY",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "APNP",
        "authorized_official_telephone_number": "262-313-8375",
        "authorized_official_credential": "APNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.