BLUE SKY MEDICAL LLC
NPI 1649055542
Nurse Practitioner - Psychiatric/Mental Health in North Fort Myers, FL

Active since August 29, 2023
3440 MARINATOWN LN STE 210, NORTH FORT MYERS, FL 33903(239) 230-2000(239) 235-4640 Get Directions Write a Review

NPPES record last updated: August 31, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 8, 2025, May 1, 2024, Aug 29, 2023 (3 updates tracked since 2023).

About Blue Sky Medical Llc NPPES

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

BLUE SKY MEDICAL LLC (NPI 1649055542), doing business as Blue Sky Health And Wellness Llc, is a healthcare organization registered as a psychiatric/mental health in North Fort Myers, Florida and active in the NPI registry since August 2023. The organization lists Editha Anne Butler, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1649055542
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLUE SKY MEDICAL LLC
Location Address3440 MARINATOWN LN STE 210North Fort Myers, FL 33903-7049
Mailing Address3440 Marinatown Ln Ste 210North Fort Myers, FL 33903-7049 · (239) 230-2000 · Fax (239) 235-4640
Fax(239) 235-4640
Organization SubpartNo
Authorized OfficialEditha Anne ButlerClinical Director · (803) 260-2223
Enumeration DateAugust 29, 2023
Last NPPES UpdateAugust 31, 20253 updates tracked since enumeration
NPPES CertifiedAugust 31, 2025
NPI 1649055542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
3440 MARINATOWN LN STE 210, North Fort Myers, FL 33903

Other Names 1

Former Legal Business NameBlue Sky Health And Wellness Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
3440 MARINATOWN LN STE 210
NORTH FORT MYERS, FL 33903

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 Blue Sky Medical LLC's NPI number?

The NPI number for Blue Sky Medical LLC is 1649055542. It was assigned to this organization in the NPPES registry on August 29, 2023. The provider was formerly known as Blue Sky Health and Wellness LLC.

Where is Blue Sky Medical LLC located?

Blue Sky Medical LLC is located at 3440 Marinatown Ln Ste 210, North Fort Myers, FL 33903. The listed phone number is (239) 230-2000.

What is Blue Sky Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Blue Sky Medical LLC was last updated on August 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.