Khrista Fortune, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

2601 Boniface Pkwy Ste 4
Anchorage, AK 99504-3144

Phone

(907) 244-8900

NPI assigned

Jun 24, 2020

Reactivated

Jan 25, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1407472566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 E TUDOR RD",
            "address_2": "PMB 771",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071185",
            "telephone_number": "907-244-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 BONIFACE PKWY STE 4",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043144",
            "telephone_number": "907-244-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "KHRISTA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "deactivation_date": "2021-01-06",
        "reactivation_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "akgotyourback@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medicaid",
            "address_1": "3060 Brookview St",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995044185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marie Badjan Forster
• Jennifer Lynn Forsythe, RN
• Nicole Forto
• Jayne S Fortson, M.D.
• Stephanie S Fortt, LCSW
• Erica Fossler
• Ruby N Foster-Walton, MS
• Abigail Foster
• Amber Jeanne Foster, D.D.S.
• Bonnie E Foster, CPNP

• Massage Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.