Blue Cypress IV and Wellness

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

BLUE CYPRESS IV AND WELLNESS

Practice address

111 N Hamilton St Ste 1
Georgetown, KY 40324-1709

Phone

(502) 603-0027

NPI assigned

Jun 8, 2026

Last updated

Jun 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mechelle Kelley, RNNPI 1881533214

Title

Owner/Ceo

Phone

(502) 603-0027

Specialties & licenses 1

Addresses

Locations

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.

• Mechelle Kelley, RN

  • Registered Nurse
  • Georgetown, KY
  • NPI 1881533214
  NPD Authorized official

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1619801560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N HAMILTON ST STE 1",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241709",
            "telephone_number": "502-603-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N HAMILTON ST STE 1",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403241709",
            "telephone_number": "502-603-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CYPRESS IV AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "MECHELLE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "502-603-0027",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie Michele Blanton, RANK I
• Peyton Madison Blanton, APRN
• Kelsey Blau
• Allison Claire-Marie Blevins
• Bliss Behavioral Health
• Bluegrass Behavioral School for Children (Bluegrass Behavioral Services for Children)
• Bluegrass Business Health
• Bluegrass Community Care, Inc.
• Bluegrass Community Living, Inc.
• Bluegrass Direct Primary Care

• Integrative Medicine Physician in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Integrative Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.