NPIMap

Organization Active NPI

Khrista Fortune

  • Massage Therapist
  • Anchorage, AK
National Provider Identifier
1336737410
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
KHRISTA FORTUNE
Practice address
1350 W Northern Lights Blvd Ste C
Anchorage, AK 99503-3614
Phone
(907) 334-8020
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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

Authorized official

Name
Khrista Fortune, LMT
Title
LMT
Phone
(907) 538-7990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1350 W Northern Lights Blvd Ste C
Anchorage, AK 99503-3614

Mailing address

802 N Lane St Apt 4
Anchorage, AK 99508-1744
Phone (907) 538-7990

National Provider Directory

National Provider Directory

Locations

1350 W Northern Lights Blvd
Ste C
Anchorage, AK 99503
Phone (907) 334-8020

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673654400000",
    "number": "1336737410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N LANE ST APT 4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081744",
            "telephone_number": "907-538-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W NORTHERN LIGHTS BLVD STE C",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033614",
            "telephone_number": "907-334-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHRISTA FORTUNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A",
        "authorized_official_last_name": "FORTUNE",
        "authorized_official_first_name": "KHRISTA",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "907-538-7990",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; 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.