Courtney Michele Porter, DC, MS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61490985 Issued in WA

Practice address

2513 152ND Ave NE
Redmond, WA 98052-5574

Phone

(425) 786-1415

NPI assigned

Oct 11, 2023

Last updated

Oct 11, 2023By the provider in NPPES

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

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Functional Health Consulting LLCGroup PAC ID 1759560709, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Functional Health Consulting, LLC

  dba Vida Integrated Health

  • Sports Physician Chiropractor
  • Seattle, WA
  • NPI 1871801522
  Medicare reassignment Care Compare group NPD
• Functional Health Consulting, LLC

  dba Vida Integrated Health

  • Chiropractor
  • Renton, WA
  • NPI 1598548877
  NPD
• Functional Health Consulting, LLC

  dba Vida Integrated Health

  • Rehabilitation Chiropractor
  • Everett, WA
  • NPI 1619226891
  NPD
• Functional Health Consulting, LLC

  • Rehabilitation Chiropractor
  • Bellevue, WA
  • NPI 1366991572
  NPD (past)

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1205617636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18245 NE 125TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980522235",
            "telephone_number": "206-818-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525574",
            "telephone_number": "425-786-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "COURTNEY",
        "middle_name": "MICHELE",
        "credential": "DC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61490985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne B Platzner, M.D.
• Natalia Pokataeva
• Anton H Poon, RPH
• Eric Poon, OT
• Adriana Maria Popescu, DDS
• Kathleen Marie Porucznik, MACCC/SLP
• Vanessa Poston
• Donald E Potter, M.D.
• Kathy Strande Pouncy, LMP
• Ronald O. Powell, PHD

• Chiropractor in Redmond, WA
• Providers in Redmond, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.