Individual provider Active NPI

Aemarijn Marlow Fortune, DAC

  • Acupuncturist
  • Tempe, AZ
National Provider Identifier
1225987100
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Practice address
5470 S Lakeshore Dr
Tempe, AZ 85283-2173
Phone
(623) 594-5447
NPI assigned
Jan 24, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AZ Primary

Addresses

Primary practice location

5470 S Lakeshore Dr
Tempe, AZ 85283-2173

Mailing address

4502 W Kristal Way
Glendale, AZ 85308-5420
Phone (623) 594-5447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4502 W Kristal Way
Glendale, AZ 85308-5420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fortune Wellness LLC Acupuncturist Current Accepting new patients

Locations

5470 S Lakeshore Dr
Tempe, AZ 85283
Phone (623) 594-5447

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1769212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1225987100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 W KRISTAL WAY",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085420",
            "telephone_number": "623-594-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 S LAKESHORE DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832173",
            "telephone_number": "623-594-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "AEMARIJN",
        "middle_name": "MARLOW",
        "credential": "DAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-24",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.