Keely-Shaye Lonsbury

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

11660 Chippewa Hwy
Bear Lake, MI 49614-9419

Phone

(231) 655-3146

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2023.

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1114709169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11660 CHIPPEWA HWY",
            "city": "BEAR LAKE",
            "state": "MI",
            "postal_code": "496149419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 CHIPPEWA HWY",
            "city": "BEAR LAKE",
            "state": "MI",
            "postal_code": "496149419",
            "telephone_number": "231-655-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONSBURY",
        "first_name": "KEELY-SHAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Matthew Kopacki, RRT
• Thressa Lahaye
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• Sarah Nichols
• Northwest Michigan Health Services, Inc.
• Jacqueline J Norton, PA-C
• Isabella Puckett

• All providers in Bear Lake, MI
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.