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FORWARD HEALTHY LIFESTYLES
NPI 1053263764
Nurse Practitioner in Pewaukee, WI

Active since February 13, 2026
145 W WISCONSIN AVE UNIT 3, PEWAUKEE, WI 53072(262) 313-8375 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Forward Healthy Lifestyles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORWARD HEALTHY LIFESTYLES (NPI 1053263764) is a healthcare organization registered as a nurse practitioner in Pewaukee, Wisconsin and active in the NPI registry since February 2026. The organization maintains a secondary practice location in Shorewood and lists Lindsay A Carmody, Apnp, as its authorized official.

NPPES Registry Identity

NPI1053263764
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameFORWARD HEALTHY LIFESTYLES
Location Address145 W WISCONSIN AVE UNIT 3Pewaukee, WI 53072-3437
Mailing AddressN112w15237 Mequon Rd Ste 100Germantown, WI 53022-3466 · (262) 313-8375
Phone(262) 313-8375
Organization SubpartNo
Authorized OfficialLindsay A CarmodyApnp · (262) 313-8375
Enumeration DateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1053263764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
145 W WISCONSIN AVE UNIT 3, Pewaukee, WI 53072
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Secondary Practice Location 1

Location 13970 N Oakland Ave Ste 502Shorewood, WI 53211-2265 · Phone (262) 313-8375

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Forward Healthy Lifestyles's NPI number?

The NPI number for Forward Healthy Lifestyles is 1053263764. It was assigned to this organization in the NPPES registry on February 13, 2026.

Where is Forward Healthy Lifestyles located?

Forward Healthy Lifestyles is located at 145 W Wisconsin Ave Unit 3, Pewaukee, WI 53072. The listed phone number is (262) 313-8375.

What is Forward Healthy Lifestyles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Forward Healthy Lifestyles was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.