Kelly Sue Lamie-Fulk

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10781 E Cherry Bend Rd
Traverse City, MI 49684-5249

Phone

(800) 645-4737

NPI assigned

Jun 8, 2026

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

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.

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1699609552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16855 ALMIRA RD",
            "city": "LAKE ANN",
            "state": "MI",
            "postal_code": "496509601",
            "telephone_number": "231-492-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10781 E CHERRY BEND RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845249",
            "telephone_number": "800-645-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMIE-FULK",
        "first_name": "KELLY",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold J Lake Jr., PA-C
• Lakeview Counseling P.C.
• Shelly C. Lall, M.D.
• Jennifer L Lamb, RN
• Timothy R Lambert, DO
• Steven M. Lamie, M. D.
• Anna H Lammers, O.D.
• Roberta Lynn Lamont, LPC
• Tanya Belanger Lamont, LLPC
• Benjamin Gordon Lamphere, M.D.

• All providers in Traverse City, MI
• Behavior Technician in Michigan

• 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.