NPIMap

Organization Active NPI

Blue Skies Holistic Care, Inc.

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1225709587
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BLUE SKIES HOLISTIC CARE, INC.
Practice address
9205 W Center St Ste 209
Milwaukee, WI 53222-4548
Phone
(414) 737-6000
Fax
(414) 677-6979
NPI assigned
Sep 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Kelemarie R Lyons, LAC
Title
President
Phone
(414) 737-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9205 W Center St Ste 209
Milwaukee, WI 53222-4548

Mailing address

20515 Milton CT
Brookfield, WI 53045-4050
Phone (414) 737-6000

Other names 2

  • KeleMarie Lyons Acupuncture & Herbal Medicine Doing business as
  • Pinnacle XL, Inc. Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kelly@Blue-Skies.org Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

9205 W Center St
Ste 209
Milwaukee, WI 53222
Phone (414) 257-3044

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1225709587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20515 MILTON CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454050",
            "telephone_number": "414-737-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 W CENTER ST STE 209",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532224548",
            "telephone_number": "414-737-6000",
            "fax_number": "414-677-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES HOLISTIC CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-25",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "KELEMARIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-737-6000",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kelly@Blue-Skies.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Nay",
            "address_1": "9205 W Center St Ste 209",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532224548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KeleMarie Lyons Acupuncture & Herbal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KeleMarie Lyons Acupuncture & Herbal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pinnacle XL, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.