Makinie Fortino

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF60640108 Issued in WA

Practice address

4333 NE 22ND CT
Renton, WA 98059-3648

Phone

(971) 600-1735

NPI assigned

Mar 15, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1013665454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 NE 22ND CT",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593648",
            "telephone_number": "786-897-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 NE 22ND CT",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980593648",
            "telephone_number": "971-600-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTINO",
        "first_name": "MAKINIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF60640108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "Gsuite",
            "affiliation": "N",
            "endpointDescription": "Makinie signed a BAA with gmail, so information is securely exchanged",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "gsuite",
            "address_1": "4333 NE 22nd Ct",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980593648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laurie E Force, ARNP
• David Brinton Ford, D.D.S.
• Emily Marie Ford, PTA.P1.61691487
• Rachyl Fornaro, PHARMD
• Laura Anna Fortin, R.D., C.D.
• Samuel Robert Foshay, LMT
• Jolie Ann Foster, L.AC.
• Fostering Foundations
• Yasmine Adele Fotoohi
• Homayoon Fotovatjah, DDS

• Marriage & Family Therapist in Renton, WA
• Providers in Renton, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.