Kelly Lyons, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

991-55 Issued in WI

Practice address

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

Phone

(414) 737-6000

NPI assigned

Aug 2, 2020

Last updated

Sep 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Blue Skies Holistic Care, Inc.

  dba KeleMarie Lyons Acupuncture & Herbal Medicine

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1225709587
  NPD

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1689284937",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "KELLY",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "991-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "klyons@pinnaclexl.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "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": []
}

• Sarah Lyon, M.D.
• Will Davis Lyon
• Amalia Jane Lyons, MD
• Anna Trehy Lyons
• Geraldine Lyons
• Kelly Jean Lyons, PA-C
• Elizabeth Lyvers
• Jeffrey T Lyvers, M.D.
• M & M Home Care 2 LLC
• M & S Clinical Services, Inc

• Acupuncturist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.