Individual provider Active NPI

Morgan Mackenzie Sharon Fortier, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1295573301
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61491509 Issued in WA
Practice address
4755 Fauntleroy Way SW Ste 120
Seattle, WA 98116-4669
Phone
(206) 946-1323
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61491509 WA Primary

Addresses

Primary practice location

4755 Fauntleroy Way SW Ste 120
Seattle, WA 98116-4669

Mailing address

4755 Fauntleroy Way SW Ste 120
Seattle, WA 98116-4669
Phone (206) 946-1323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260506003876 WA Practitioner - Chiropractic 5092283176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7116 Woodlawn Ave NE
Seattle, WA 98115-5435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH61491509WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Athletes Performance Center PS Chiropractor CurrentSince Nov 7, 2025 Accepting new patients

Locations

7116 Woodlawn Ave NE
Seattle, WA 98115
Phone (206) 522-6240

4755 Fauntleroy Way SW
Ste 120
Seattle, WA 98116
Phone (206) 946-1323

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1295573301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 FAUNTLEROY WAY SW STE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164669",
            "telephone_number": "206-946-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 FAUNTLEROY WAY SW STE 120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164669",
            "telephone_number": "206-946-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIER",
        "first_name": "MORGAN",
        "middle_name": "MACKENZIE SHARON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61491509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.